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Hawaii 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
Professional
Modifier
Low / Median / High Price
$17.78 / $22.91 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $27.54 / $85.11
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $22.39 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $21.88 / $30.90
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $22.39 / $25.70