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Ohio 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
$37.93 / $94.37 / $636.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.19 / $39.01 / $65.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $32.56 / $49.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.59 / $43.48 / $70.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.01 / $39.76 / $51.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $49.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.29 / $60.29 / $60.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.09 / $53.66 / $107.07
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.29 / $85.37 / $132.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.61 / $52.43 / $83.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $36.60 / $49.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.60 / $52.76 / $88.21