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Maryland 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
Professional
Modifier
Low / Median / High Price
$37.81 / $54.51 / $109.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.04 / $46.04 / $70.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.34 / $74.53 / $154.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.17 / $61.22 / $87.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.17 / $83.52 / $143.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.64 / $67.04 / $83.51