go back

North Dakota 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
$41.27 / $56.79 / $975.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $60.66 / $123.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.31 / $100.41 / $143.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.50 / $100.90 / $159.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.43 / $73.73 / $160.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.31 / $122.57 / $693.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $104.18 / $134.58