go back

Washington, DC 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
$36.49 / $85.02 / $95.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.49 / $38.00 / $56.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $45.44 / $49.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.57 / $95.95 / $159.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $87.59 / $87.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $95.01 / $112.88