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Connecticut 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
$57.90 / $142.11 / $318.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.81 / $58.33 / $142.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.01 / $74.80 / $192.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.02 / $286.64 / $412.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.31 / $107.60 / $177.28
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $93.77 / $134.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $63.94 / $98.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.47 / $115.32 / $167.21