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Oklahoma 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
$36.86 / $99.79 / $106.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $38.22 / $42.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.40 / $45.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.15 / $48.58 / $56.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.45 / $52.06 / $63.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.44 / $38.71 / $62.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $52.20 / $251.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $45.59 / $81.47