go back

Massachusetts 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
$38.90 / $52.48 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $64.57 / $213.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $147.91 / $660.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $87.10 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $134.90 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $79.43 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $239.88 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $95.50 / $186.21
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $74.13 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $72.44 / $128.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $77.62 / $154.88
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $147.91 / $660.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $87.10 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $208.93 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $93.33 / $162.18