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Maryland 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
Professional
Modifier
Low / Median / High Price
$35.54 / $39.72 / $55.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $45.44 / $54.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.24 / $54.72 / $103.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.28 / $40.72 / $57.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.53 / $43.78 / $86.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $44.17 / $55.46