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Rhode Island 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
$67.86 / $329.84 / $329.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.44 / $53.95 / $68.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.96 / $213.74 / $255.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.78 / $49.82 / $77.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.62 / $62.27 / $110.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.58 / $68.68 / $91.57