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Washington, DC 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
$48.90 / $48.90 / $49.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.66 / $49.59 / $118.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.96 / $59.96 / $65.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.23 / $127.39 / $210.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.22 / $116.80 / $116.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.09 / $71.26 / $147.91