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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
$52.54 / $87.45 / $135.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.37 / $72.14 / $125.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.74 / $94.74 / $94.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.40 / $56.65 / $74.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.19 / $129.13 / $161.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.40 / $86.00 / $134.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.87 / $89.82 / $130.61