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Idaho 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
$1.60 / $1.60 / $165.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $25.44 / $69.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.99 / $32.39 / $46.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $27.17 / $82.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.35 / $32.02 / $36.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $29.86 / $32.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.08 / $312.54 / $387.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.84 / $27.86 / $33.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $59.19 / $112.20