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Florida 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
$42.46 / $47.46 / $159.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.17 / $53.39 / $71.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $66.00 / $66.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.89 / $80.89 / $80.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.30 / $71.41 / $130.03
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.09 / $48.09 / $55.38
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $40.64 / $58.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $41.84 / $69.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.95 / $61.25 / $112.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.04 / $38.54 / $38.54