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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

Facilitymedian $49 · 10th–90th $48–$3890%50%10th90th$49Professionalmedian $55 · 10th–90th $47–$1150%20%10th90th$55$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $54.95 / $109.65
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $60.26 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $81.28 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $61.66 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $457.09 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $85.11 / $147.91