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North Dakota 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
$52.48 / $52.48 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $54.95 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $114.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $93.33 / $134.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $70.79 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $104.71 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $97.72 / $131.83