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Indiana 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 $407 · 10th–90th $19$5500%10%20%10th90th$407Professionalmedian $25 · 10th–90th $17$790%10%10th90th$25$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
$18.20 / $18.62 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $21.38 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $407.38 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $31.62 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $18.62 / $20.89
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $30.20 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $26.30 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $24.55 / $69.18