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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
$25.16 / $25.16 / $65.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $25.16 / $65.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.93 / $27.03 / $67.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $32.77 / $81.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.46 / $43.34 / $96.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.23 / $42.37 / $79.16