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Oklahoma 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
$37.70 / $51.16 / $92.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $51.16 / $102.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.55 / $64.55 / $64.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.59 / $82.17 / $119.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $54.79 / $74.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.70 / $104.99 / $347.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $73.77 / $154.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.08 / $59.07 / $149.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.87 / $111.40 / $693.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.70 / $68.05 / $126.72