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Massachusetts 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 $68 · 10th–90th $21–$3020%10%20%10th90th$68Professionalmedian $32 · 10th–90th $18–$830%10%20%10th90th$32$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$21.88 / $89.13 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $32.36 / $97.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $67.61 / $1,096.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $64.57 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $34.67 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $257.04 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $37.15 / $87.10
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $19.50 / $48.98
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $21.88 / $41.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $30.90 / $52.48
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $67.61 / $1,096.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $239.88 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $35.48 / $69.18