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Texas 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 $35 · 10th–90th $17–$3550%5%10%10th90th$35Professionalmedian $22 · 10th–90th $17–$650%10%10th90th$22$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$14.13 / $16.60 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $295.12 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $27.54
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $26.30 / $36.31
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $114.82 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.84 / $87.10
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $371.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $24.55 / $72.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $61.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $107.15 / $151.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $25.12 / $72.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $28.84 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $208.93 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $25.12 / $70.79
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $23.99