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Alabama 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $42.66 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $38.02 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $239.88 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $39.81 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $44.67 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $48.98 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $40.74 / $63.10