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New Mexico 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
$31.86 / $39.18 / $270.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.20 / $45.11 / $63.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.95 / $40.95 / $40.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.77 / $593.20 / $966.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.99 / $45.00 / $98.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $68.61 / $99.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $73.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.20 / $45.13 / $73.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.57 / $71.70 / $105.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $86.40 / $125.28