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West Virginia 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
$44.67 / $245.47 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $53.70 / $112.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $50.12 / $112.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $100.00 / $389.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $389.05 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $79.43 / $138.04