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Alabama 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $65.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.30 / $55.82 / $67.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.09 / $236.76 / $318.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $56.54 / $66.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.82 / $57.04 / $82.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $52.70 / $83.37