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New Hampshire 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 $48 · 10th–90th $22–$580%20%10th90th$48Professionalmedian $47 · 10th–90th $35–$930%10%20%10th90th$47$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $41.69 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $52.48 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $67.61 / $131.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $57.54 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $64.57 / $117.49
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $23.99 / $23.99