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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.27 / $17.57 / $18.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $19.53 / $59.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.45 / $21.45 / $21.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $20.47 / $39.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $29.06 / $60.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $20.23 / $23.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $19.73 / $24.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.62 / $27.31 / $80.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.87 / $39.11 / $72.36