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Missouri rates for HCPCS 95971

Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with simple spinal cord or peripheral nerve (eg, sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.39 / $49.65 / $90.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.09 / $47.31 / $83.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.47 / $59.47 / $59.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,466.00 / $1,641.00 / $25,588.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $51.64 / $81.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.78 / $143.78 / $369.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.26 / $62.25 / $105.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.34 / $54.29 / $111.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.33 / $85.51 / $477.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $63.83 / $122.21