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North Carolina 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 $35 · 10th–90th $18–$2290%10%10th90th$35Professionalmedian $26 · 10th–90th $17–$1410%10%10th90th$26$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
$30.90 / $208.93 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $30.20 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.02 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $21.88 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $35.48 / $104.71
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $67.61 / $67.61
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $75.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $28.84 / $72.44
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $371.54 / $371.54