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Nebraska 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
$36.35 / $36.35 / $44.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.35 / $44.71 / $114.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.36 / $424.90 / $666.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.14 / $65.68 / $91.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.94 / $95.43 / $122.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $63.61 / $114.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.77 / $105.94 / $477.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.89 / $99.59 / $123.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.12 / $97.82 / $123.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.77 / $105.29 / $117.69