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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

Facilitymedian $76 · 10th–90th $19–$4680%5%10th90th$76Professionalmedian $32 · 10th–90th $17–$850%10%10th90th$32$20.0$50.0$100.0$200.0$500.0$1.0K

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
$19.05 / $19.05 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $302.00 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $67.61 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $48.98 / $77.62
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $64.57 / $128.82
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $45.71 / $72.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $31.62 / $69.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $57.54 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $346.74 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $42.66 / $81.28