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New Jersey 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
$57.82 / $58.65 / $410.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.30 / $53.03 / $75.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $72.33 / $124.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.80 / $74.31 / $97.26
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.09 / $214.94 / $223.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.55 / $55.14 / $90.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.28 / $59.78 / $105.90