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Kansas 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
$61.46 / $62.24 / $150.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.58 / $57.74 / $116.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.13 / $60.13 / $60.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.52 / $80.61 / $81.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $78.86 / $168.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.58 / $56.96 / $143.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.14 / $84.29 / $332.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $71.76 / $134.25