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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
$37.15 / $37.15 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $57.54 / $213.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $51.29 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $102.33 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $74.13 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $457.09 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $97.72 / $165.96