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Missouri 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
$21.88 / $74.13 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.18 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $22.39 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $18,197.01 / $25,703.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $28.84 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $21.88 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $30.90 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $22.91 / $69.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $60.26 / $371.54
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $416.87 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $24.55 / $60.26