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Nationwide rates for HCPCS 95977

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 complex cranial nerve neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional

Facilitymedian $85 · 10th–90th $49–$3800%20%10th90th$85Professionalmedian $56 · 10th–90th $47–$1230%50%10th90th$56$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$52.48 / $109.65 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $54.95 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $288.40 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $63.10 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $158.49 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $75.86 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $199.53 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $66.07 / $120.23

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