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North Dakota 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
$40.38 / $40.38 / $41.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $41.36 / $80.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.88 / $87.41 / $96.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $81.55 / $120.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.38 / $54.14 / $75.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $80.92 / $251.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $75.40 / $96.35