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Florida 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 $52 · 10th–90th $19–$8710%10%20%10th90th$52Professionalmedian $27 · 10th–90th $17–$810%10%20%10th90th$27$0.5$2.0$10.0$50.0$200.0$1.0K

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
$19.05 / $52.48 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $28.18 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.38 / $26.92
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $28.84 / $47.86
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $29.51 / $93.33
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $46.77 / $67.61
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $18.62 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $32.36 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $162.18 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $26.30 / $64.57
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $22.91