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Washington, DC 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
$37.92 / $54.51 / $423.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.92 / $54.51 / $102.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.44 / $46.04 / $75.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.27 / $118.21 / $272.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $129.66 / $129.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.33 / $142.29 / $164.20