go back

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
$37.15 / $97.72 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $58.88 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.12 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $89.13 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $87.10 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $69.18 / $218.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $104.71 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $79.43 / $147.91