go back

New York 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 $33 · 10th–90th $22–$910%20%10th90th$33Professionalmedian $25 · 10th–90th $17–$930%10%20%10th90th$25$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$21.88 / $33.11 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $27.54 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $18.20 / $21.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.42 / $93.33
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $91.20 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $38.02 / $109.65
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $40.74 / $77.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.20 / $40.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $57.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.88 / $38.90
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $26.92 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $269.15 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $26.92 / $77.62
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $21.38 / $81.28
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $25.12 / $60.26