go back

Massachusetts 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
$39.86 / $40.63 / $248.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.77 / $42.02 / $58.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.29 / $94.92 / $182.73
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.24 / $73.20 / $247.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.24 / $64.23 / $85.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $70.06 / $94.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.70 / $75.45 / $132.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.96 / $83.43 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.72 / $42.81 / $69.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.47 / $89.03 / $117.35
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.09 / $79.09 / $79.09
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.17 / $60.26 / $122.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.73 / $182.73 / $182.73
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.08 / $80.20 / $251.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $60.53 / $114.79