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Nebraska 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
$17.18 / $17.18 / $17.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $23.68 / $118.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $41.32 / $43.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.36 / $424.90 / $666.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.01 / $28.02 / $38.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $40.83 / $48.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.48 / $29.72 / $135.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.54 / $45.41 / $371.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.35 / $43.72 / $79.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.24 / $43.72 / $99.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.46 / $167.69 / $219.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.54 / $43.14 / $89.70