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Nebraska 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

Facilitymedian $91 · 10th–90th $49–$4070%10%10th90th$91Professionalmedian $65 · 10th–90th $48–$1290%10%10th90th$65$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $89.13 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $63.10 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $100.00 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $407.38 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $77.62 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $112.20 / $208.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $81.28 / $134.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $109.65 / $331.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $112.20 / $134.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $112.20 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $125.89 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $100.00 / $125.89