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Connecticut 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 $105 · 10th–90th $47–$3090%20%10th90th$105Professionalmedian $29 · 10th–90th $18–$1070%10%10th90th$29$20.0$50.0$100.0$200.0$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
$46.77 / $104.71 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $28.84 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $27.54 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $223.87 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $37.15 / $81.28
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $33.11 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $30.20 / $69.18