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North Carolina 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
$39.22 / $47.89 / $59.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.09 / $47.89 / $101.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.56 / $97.56 / $97.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.81 / $53.72 / $142.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.65 / $62.65 / $62.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.87 / $69.20 / $131.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.22 / $52.00 / $86.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $63.00 / $145.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $61.50 / $153.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.96 / $63.22 / $134.16
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.25 / $188.10 / $188.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $392.55 / $477.31