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Virginia 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
$17.80 / $31.06 / $537.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.36 / $21.53 / $63.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $21.52 / $36.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.61 / $20.61 / $45.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.52 / $67.69 / $155.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $30.96 / $75.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $20.04 / $26.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $24.61 / $68.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $83.00 / $102.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.19 / $28.64 / $44.92
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.20 / $40.63 / $90.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.96 / $601.11 / $797.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $32.61 / $75.34