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Pennsylvania 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 $251 · 10th–90th $56–$4270%20%10th90th$251Professionalmedian $55 · 10th–90th $47–$1170%20%40%10th90th$55$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$56.23 / $251.19 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $54.95 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $46.77 / $54.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $52.48 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $67.61 / $112.20
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $75.86 / $102.33
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $60.26 / $102.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $467.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $58.88 / $87.10
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $74.13 / $229.09
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $57.54 / $109.65
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $95.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $58.88 / $60.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $52.48 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $281.84 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $61.66 / $102.33