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Michigan 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 $28 · 10th–90th $21–$3390%20%10th90th$28Professionalmedian $28 · 10th–90th $17–$1100%10%10th90th$28$5.0$10.0$20.0$50.0$100.0$200.0

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 / $27.54 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $28.84 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $30.90 / $91.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $66.07 / $302.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $29.51 / $87.10
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $28.18 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $223.87 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $27.54 / $77.62