go back

Hawaii 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
Professional
Modifier
Low / Median / High Price
$35.77 / $39.22 / $58.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $50.80 / $51.77
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.76 / $53.66 / $63.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $44.15 / $51.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.28 / $46.91 / $65.45
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.69 / $48.28 / $52.59