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Minnesota 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
$41.69 / $60.26 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $58.88 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $331.13 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $208.93 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $125.89 / $213.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $199.53 / $389.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $208.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $87.10 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $123.03 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $245.47 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $100.00 / $169.82