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Arkansas 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $64.57 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.38 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $107.15 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $31.62 / $74.13
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $208.93 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $23.99 / $60.26