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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
$49.35 / $59.44 / $69.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.19 / $69.56 / $112.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.91 / $256.33 / $439.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $66.28 / $126.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.71 / $71.18 / $71.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.63 / $58.62 / $113.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.70 / $76.76 / $137.09