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Colorado 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
$40.38 / $41.14 / $923.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.77 / $40.38 / $58.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $51.50 / $75.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.01 / $57.34 / $78.40
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.53 / $43.84 / $67.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $54.11 / $81.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.08 / $60.32 / $97.11