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Arkansas rates for HCPCS 95972

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 complex 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
$52.48 / $102.33 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $53.70 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $56.23 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $147.91 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $83.18 / $138.04
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $147.91 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $66.07 / $120.23