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Delaware 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
Professional
Modifier
Low / Median / High Price
$47.66 / $56.62 / $77.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.99 / $67.25 / $94.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.57 / $83.57 / $83.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.53 / $63.69 / $136.86