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Rhode Island 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
$28.70 / $346.86 / $346.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $23.92 / $74.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.19 / $236.62 / $277.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $18.48 / $34.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.50 / $510.50 / $510.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $27.15 / $47.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.41 / $270.41 / $270.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $26.54 / $94.18