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Minnesota 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
$19.61 / $19.98 / $19.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $23.87 / $97.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.52 / $255.22 / $501.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $52.23 / $65.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.48 / $64.50 / $155.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.72 / $48.97 / $77.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.33 / $58.97 / $122.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $46.10 / $69.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.61 / $31.91 / $69.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $65.41 / $371.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.80 / $336.82 / $426.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.42 / $54.05 / $117.56