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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 $19.89 / $31.28 / $122.46	Facility	$19.89	$31.28	$122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $23.06 / $65.31	Professional	$17.53	$23.06	$65.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $293.00 / $335.26	Facility	$81.34	$293.00	$335.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $27.97 / $60.32	Professional	$18.04	$27.97	$60.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $79.52 / $160.15	Facility	$47.07	$79.52	$160.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $32.14 / $86.44	Professional	$19.66	$32.14	$86.44
United Facility/Professional Facility Modifier Low / Median / High Price $211.50 / $271.09 / $383.08	Facility	$211.50	$271.09	$383.08
United Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $38.70 / $81.11	Professional	$18.93	$38.70	$81.11

Nationwide rates for HCPCS 95970

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