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Louisiana 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
$62.46 / $66.55 / $175.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.46 / $62.46 / $84.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.86 / $46.86 / $47.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $231.57 / $379.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.20 / $62.41 / $95.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.96 / $92.76 / $92.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $60.86 / $95.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.53 / $59.47 / $102.89