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Wyoming 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
Professional
Modifier
Low / Median / High Price
$36.31 / $48.98 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $69.18 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $81.28 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $151.36