go back

Louisiana 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
$21.88 / $26.92 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $21.38 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $199.53 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $22.39 / $28.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $22.39 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $25.70 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $208.93 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $57.54