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Mississippi 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
$58.88 / $218.78 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $56.23 / $100.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $50.12 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $436.52 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $72.44 / $102.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $169.82 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $61.66 / $89.13