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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
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $26.92 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $21.88 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $28.18 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.18 / $56.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.84 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $31.62 / $89.13