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Wyoming 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
Professional
Modifier
Low / Median / High Price
$49.32 / $51.47 / $54.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $92.00 / $93.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $82.02 / $111.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.94 / $92.40 / $177.86