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Colorado 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
$41.69 / $41.69 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $57.54 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $69.18 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $81.28 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $61.66 / $204.17
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $56.23 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $85.11 / $144.54