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Arkansas 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
$67.05 / $67.87 / $100.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.75 / $56.93 / $78.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.74 / $94.74 / $94.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.31 / $69.23 / $70.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.23 / $77.40 / $99.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.35 / $64.67 / $101.04