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New Mexico 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 $30 · 10th–90th $20–$6460%10%20%10th90th$30Professionalmedian $23 · 10th–90th $15–$690%10%20%10th90th$23$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$24.55 / $24.55 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $501.19 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $38.02 / $95.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $50.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $28.84 / $93.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $35.48 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $263.03 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.02 / $100.00