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North Dakota 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
$40.74 / $40.74 / $50.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $44.84 / $66.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.18 / $97.54 / $121.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.98 / $94.52 / $125.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.95 / $65.27 / $94.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $100.36 / $477.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $94.23 / $119.55