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Colorado 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
$54.12 / $68.52 / $978.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.41 / $54.12 / $77.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.84 / $68.67 / $100.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.19 / $75.70 / $104.24
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $57.82 / $90.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.91 / $72.39 / $108.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.60 / $80.08 / $185.01