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Kentucky 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
$38.27 / $39.18 / $44.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $39.47 / $58.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.40 / $32.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.63 / $31.83 / $45.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.06 / $46.85 / $55.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $48.23 / $68.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.29 / $60.29 / $60.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.27 / $53.33 / $81.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.57 / $32.34 / $34.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $46.40 / $81.93