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Indiana 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
$36.29 / $37.22 / $421.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.24 / $38.50 / $46.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $52.26 / $70.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.53 / $38.53 / $74.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.05 / $38.53 / $53.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.24 / $41.09 / $48.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.84 / $38.32 / $51.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $47.60 / $70.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.74 / $45.30 / $70.01