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Rhode Island 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
$50.89 / $460.66 / $460.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.77 / $40.63 / $51.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $74.95 / $83.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $37.34 / $58.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.72 / $46.67 / $84.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $51.97 / $70.14