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Wyoming 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
Professional
Modifier
Low / Median / High Price
$38.90 / $61.66 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $70.79 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $85.11 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $107.15 / $275.42