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Wyoming 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
Professional
Modifier
Low / Median / High Price
$37.45 / $38.75 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $69.00 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $61.52 / $84.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $75.08 / $136.29