go back

Louisiana 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
$47.85 / $49.24 / $58.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $47.85 / $65.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.48 / $41.48 / $63.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.06 / $73.43 / $120.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.84 / $46.80 / $71.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.03 / $10.03 / $31.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.18 / $45.83 / $72.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.18 / $44.79 / $77.51