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Vermont 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
$25.12 / $25.12 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.91 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $43.65 / $91.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $81.28 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.11 / $77.62