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Tennessee 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
$31.80 / $40.71 / $77.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $41.40 / $58.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.21 / $46.52 / $68.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.49 / $52.35 / $79.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $52.02 / $92.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.01 / $182.73 / $182.73
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.05 / $251.44 / $307.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.08 / $50.09 / $92.27