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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
$59.50 / $60.55 / $101.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $57.74 / $100.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.73 / $113.73 / $113.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.39 / $440.17 / $440.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $217.00 / $217.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $71.69 / $97.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $42.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.02 / $61.82 / $94.20