go back

South Dakota 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
$19.61 / $19.61 / $19.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $24.09 / $209.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $37.69 / $47.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.19 / $30.22 / $69.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.84 / $68.40 / $371.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $43.72 / $57.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.24 / $42.94 / $99.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $31.77 / $108.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $40.26 / $142.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $44.90 / $45.70