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Kansas 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
$47.98 / $66.55 / $125.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $68.61 / $115.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.30 / $78.00 / $107.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.11 / $209.44 / $268.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.97 / $84.56 / $185.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $93.20 / $170.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.31 / $138.71 / $693.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $115.89 / $168.90