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North Carolina 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
$51.50 / $52.46 / $144.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.29 / $52.46 / $111.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.03 / $82.03 / $82.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $64.79 / $147.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.89 / $80.89 / $80.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.01 / $78.50 / $143.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.44 / $58.65 / $80.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $63.98 / $70.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.20 / $64.20 / $64.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.38 / $67.18 / $134.85
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.49 / $244.48 / $244.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.52 / $407.25 / $412.88