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Nationwide rates for HCPCS 95976

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 simple cranial nerve neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $46.88 / $97.50	Facility	$40.99	$46.88	$97.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $40.99 / $58.85	Professional	$35.77	$40.99	$58.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $293.00 / $876.00	Facility	$47.51	$293.00	$876.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $47.04 / $70.83	Professional	$34.36	$47.04	$70.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility	$60.29	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.72 / $92.47	Professional	$39.50	$54.72	$92.47
United Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $44.79 / $44.79	Facility	$44.79	$44.79	$44.79
United Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $52.49 / $88.21	Professional	$38.03	$52.49	$88.21

Nationwide rates for HCPCS 95976

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