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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

Facilitymedian $44 · 10th–90th $17–$2570%5%10%10th90th$44Professionalmedian $25 · 10th–90th $17–$1070%10%10th90th$25$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $257.04 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $16.98 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $100.00 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.78 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $28.84 / $72.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $54.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $60.26 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $26.30 / $61.66