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Nationwide rates for HCPCS 95970

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, cranial nerve, spinal cord, peripheral nerve, or sacral nerve, neurostimulator pulse generator/transmitter, without programming

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $52.48 / $457.09	Facility	$19.05	$52.48	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $102.33	Professional	$16.98	$25.12	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $407.38 / $1,659.59	Facility	$21.88	$407.38	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $70.79	Professional	$18.20	$27.54	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $75.86 / $316.23	Facility	$29.51	$75.86	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $87.10	Professional	$19.05	$33.88	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $323.59 / $575.44	Facility	$162.18	$323.59	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $67.61	Professional	$17.38	$27.54	$67.61

Nationwide rates for HCPCS 95970

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