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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

Facilitymedian $68 · 10th–90th $68–$1550%20%40%90th$68Professionalmedian $26 · 10th–90th $17–$600%10%10th90th$26$10.0$20.0$50.0$100.0$200.0$500.0

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
$67.61 / $67.61 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $26.30 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $34.67 / $70.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $66.07
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $16.60 / $16.60