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Kansas 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
$45.91 / $65.90 / $87.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.86 / $43.33 / $87.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.46 / $39.28 / $39.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.03 / $60.04 / $61.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $59.12 / $127.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.86 / $42.50 / $107.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.69 / $63.51 / $251.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $52.49 / $86.61