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Georgia 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
$36.31 / $36.94 / $97.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $40.32 / $71.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $68.17 / $70.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.43 / $53.32 / $83.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.85 / $50.85 / $50.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $54.58 / $91.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.69 / $46.90 / $261.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.06 / $51.98 / $66.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $59.57 / $101.47