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North Carolina 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
$39.86 / $54.64 / $148.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $57.36 / $118.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $61.41 / $224.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.30 / $64.30 / $64.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.03 / $100.52 / $180.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.86 / $71.06 / $146.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $73.00 / $148.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.59 / $73.59 / $289.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.66 / $93.88 / $187.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.13 / $192.38 / $192.38
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.00 / $686.87 / $693.25