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Minnesota 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
$55.23 / $55.99 / $55.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $55.99 / $77.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.81 / $268.50 / $457.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $139.28 / $183.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.34 / $179.17 / $431.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $129.40 / $207.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.80 / $163.80 / $339.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.69 / $124.13 / $188.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.39 / $81.80 / $120.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.09 / $119.48 / $325.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.14 / $108.94 / $196.54