go back

New Hampshire 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
$26.82 / $67.81 / $156.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.36 / $22.63 / $67.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $16.05 / $19.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.79 / $23.41 / $36.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.54 / $37.31 / $72.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $33.79 / $64.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.33 / $34.96 / $77.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $19.85 / $50.29