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Connecticut 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
$75.29 / $257.36 / $760.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.87 / $55.68 / $112.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $67.33 / $97.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.29 / $79.33 / $155.56
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $68.59 / $102.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.88 / $69.88 / $79.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.58 / $82.37 / $157.27