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Missouri 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

Facilitymedian $47 · 10th–90th $33–$1,4790%10%10th90th$47Professionalmedian $43 · 10th–90th $35–$930%10%20%10th90th$43$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $40.74 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $42.66 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $56.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $18,197.01 / $25,703.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $42.66 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $42.66 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $53.70 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $61.66 / $251.19
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $61.66 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $58.88 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $81.28