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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

Facilitymedian $85 · 10th–90th $51–$2820%20%10th90th$85Professionalmedian $62 · 10th–90th $48–$1380%20%10th90th$62$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $54.95 / $134.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $275.42 / $323.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $72.44 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $151.36 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $91.20 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $83.18 / $162.18
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $51.29 / $138.04
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $53.70 / $95.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $81.28 / $134.90
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $275.42 / $323.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $72.44 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $173.78 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $87.10 / $144.54