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Massachusetts 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
$53.19 / $53.95 / $278.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.46 / $55.77 / $77.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.92 / $244.48 / $429.46
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.17 / $96.27 / $325.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.75 / $198.52 / $259.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.98 / $94.99 / $126.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.26 / $99.35 / $176.22
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.39 / $104.08 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.31 / $57.10 / $92.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.03 / $120.47 / $157.66
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.88 / $79.03 / $99.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.48 / $244.48 / $244.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.17 / $105.64 / $332.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.58 / $82.64 / $151.12