go back

Arizona 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
$59.64 / $238.94 / $260.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $21.58 / $63.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $16.05 / $25.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.52 / $88.95 / $147.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $17.01 / $20.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.80 / $29.80 / $526.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $31.70 / $72.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.75 / $20.36 / $51.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $54.60 / $371.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $45.50 / $73.84