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South Carolina 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 $49 · 10th–90th $37–$4680%10%20%10th90th$49Professionalmedian $42 · 10th–90th $35–$760%20%10th90th$42$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $41.69 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $407.38 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $42.66 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $81.28
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $44.67 / $74.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $69.18