go back

West Virginia 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
$46.77 / $257.04 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $67.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $48.98 / $54.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $57.54 / $223.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $389.05 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $48.98 / $74.13