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Idaho 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
Professional
Modifier
Low / Median / High Price
$38.02 / $60.26 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $251.19 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $79.43 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $79.43 / $107.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $79.43 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $77.62 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $251.19 / $346.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $75.86 / $107.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $63.10 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $93.33 / $169.82