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Wisconsin 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
$19.53 / $67.77 / $500.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.53 / $22.63 / $91.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.51 / $35.52 / $117.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.66 / $56.86 / $87.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $45.42 / $68.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $21.94 / $53.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $22.63 / $60.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.86 / $89.99 / $371.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.82 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $21.97 / $53.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $44.17 / $132.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.26 / $83.26 / $83.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $201.00 / $371.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.54 / $91.73 / $167.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.60 / $329.60 / $425.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $55.46 / $135.91