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Rhode Island 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
$96.24 / $96.24 / $133.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.81 / $57.90 / $112.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.96 / $213.74 / $255.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.86 / $47.89 / $110.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.44 / $457.44 / $457.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.36 / $68.91 / $126.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.40 / $79.69 / $115.06