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Arkansas 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
$31.80 / $50.26 / $75.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $42.24 / $58.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.67 / $63.77 / $63.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $51.91 / $52.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $58.01 / $75.62
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.06 / $73.34 / $73.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.19 / $48.58 / $77.03