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Nebraska 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
$36.20 / $37.13 / $4,300.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $39.22 / $61.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.69 / $71.43 / $84.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.36 / $424.90 / $666.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.84 / $59.15 / $81.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $84.50 / $101.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.20 / $61.18 / $92.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.85 / $84.03 / $247.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $91.33 / $103.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.52 / $89.78 / $105.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $85.60 / $96.35