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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
$22.17 / $23.61 / $54.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $25.16 / $63.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.04 / $201.44 / $280.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $22.52 / $67.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.84 / $22.43 / $22.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $23.03 / $51.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.66 / $205.28 / $359.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $28.43 / $70.92