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Connecticut 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
$56.73 / $206.72 / $232.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.19 / $42.28 / $115.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $50.47 / $73.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.33 / $59.61 / $118.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.20 / $51.02 / $77.12
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.17 / $52.52 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $63.16 / $120.59