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Tennessee 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
$37.44 / $45.68 / $121.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.09 / $47.63 / $75.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $57.01 / $90.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.30 / $100.70 / $164.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $59.77 / $106.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.10 / $188.10 / $188.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $392.55 / $477.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $64.06 / $105.86