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Maine 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
$19.71 / $121.97 / $121.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $27.51 / $67.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.61 / $23.26 / $34.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $29.24 / $51.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.62 / $23.80 / $40.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.97 / $121.97 / $121.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $28.26 / $69.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.94 / $59.89 / $102.45