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Louisiana 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
$48.98 / $58.88 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $54.95 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $257.04 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $56.23 / $74.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $67.61 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $151.36 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $61.66 / $112.20