go back

Kentucky 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
$51.21 / $51.82 / $59.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $52.21 / $77.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.49 / $42.27 / $60.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.54 / $64.70 / $74.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.74 / $64.70 / $92.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.89 / $80.89 / $80.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $70.84 / $107.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.62 / $45.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $64.31 / $108.28