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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

Facilitymedian $31 · 10th–90th $2–$2570%5%10%10th90th$31Professionalmedian $28 · 10th–90th $17–$810%5%10%10th90th$28$2.0$10.0$50.0$200.0

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
$1.58 / $1.58 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $251.19 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $35.48 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $30.90 / $75.86
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $25.70 / $74.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $33.11 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $288.40 / $407.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $26.92 / $41.69
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.84 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $33.11 / $97.72