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Nebraska 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
$37.29 / $37.29 / $52.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.29 / $71.59 / $124.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.36 / $424.90 / $666.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.28 / $72.09 / $107.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.94 / $106.82 / $133.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $72.73 / $184.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $131.78 / $693.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.74 / $109.49 / $148.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $109.49 / $150.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $124.38 / $183.50