| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.28 | $44.15 | $46.53 | |
BCBS
| Professional | $62.00 | $77.00 | $78.00 | |
Cigna
| Professional | $50.81 | $68.34 | $92.07 | |
United
| Professional | $57.76 | $82.06 | $148.99 |
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 brain neurostimulator pulse generator/transmitter programming, each additional 15 minutes face-to-face time with physician or other qualified health care professional (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.28 | $44.15 | $46.53 | |
BCBS
| Professional | $62.00 | $77.00 | $78.00 | |
Cigna
| Professional | $50.81 | $68.34 | $92.07 | |
United
| Professional | $57.76 | $82.06 | $148.99 |