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Minnesota 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
$41.36 / $42.50 / $72.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.84 / $42.50 / $78.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.03 / $127.29 / $294.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.18 / $104.69 / $137.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.18 / $134.97 / $324.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $98.38 / $156.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.48 / $123.40 / $255.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.87 / $94.82 / $143.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.38 / $62.48 / $92.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.26 / $88.71 / $251.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.85 / $85.60 / $149.66