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Tennessee 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
$17.52 / $18.37 / $47.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $23.06 / $67.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.59 / $22.59 / $26.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.19 / $25.84 / $42.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.52 / $67.69 / $150.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $29.83 / $73.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.26 / $90.39 / $90.39
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.00 / $271.23 / $371.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.87 / $35.51 / $81.11