go back

Oklahoma 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
$34.65 / $37.06 / $48.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $44.26 / $58.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.18 / $82.17 / $119.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.96 / $53.35 / $71.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.70 / $104.99 / $347.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $59.30 / $86.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.06 / $49.65 / $79.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.21 / $67.56 / $477.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.17 / $58.38 / $86.36