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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

Facilitymedian $28 · 10th–90th $17–$1000%5%10%10th90th$28Professionalmedian $24 · 10th–90th $17–$710%10%10th90th$24$10.0$50.0$200.0$1.0K$5.0K

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
$16.98 / $19.95 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $44.67
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.88 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $67.61 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.20 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $21.88 / $26.92
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $54.95 / $67.61
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $26.30 / $77.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $28.84 / $67.61
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $44.67 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $234.42 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $28.84 / $61.66