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Kentucky 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
$38.02 / $53.70 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $54.95 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $47.86 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $79.43 / $112.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $58.88 / $131.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $45.71 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $104.71 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $81.28 / $134.90