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South 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
$40.08 / $40.08 / $48.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.09 / $46.72 / $81.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.96 / $444.36 / $736.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $49.00 / $75.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.88 / $84.88 / $84.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.53 / $60.33 / $91.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.08 / $53.87 / $89.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.25 / $74.75 / $112.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.87 / $55.42 / $88.71