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Georgia 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
$37.81 / $52.07 / $149.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.78 / $58.36 / $130.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.14 / $72.28 / $138.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.35 / $120.35 / $120.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.12 / $104.12 / $104.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.85 / $85.16 / $170.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.19 / $66.23 / $267.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.01 / $75.59 / $118.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.56 / $102.34 / $169.71