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Idaho 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
$85.00 / $85.00 / $85.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $42.95 / $65.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.25 / $64.55 / $76.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.93 / $54.14 / $64.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.24 / $63.96 / $73.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $34.64 / $60.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.41 / $95.55 / $116.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.63 / $58.21 / $69.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.85 / $58.00 / $80.25