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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $41.69 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $398.11 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $48.98 / $77.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $43.65 / $75.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $181.97 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $42.66 / $69.18