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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

Facilitymedian $54 · 10th–90th $19–$5010%5%10%10th90th$54Professionalmedian $35 · 10th–90th $18–$1170%10%10th90th$35$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$67.61 / $489.78 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $33.88 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $56.23 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $46.77 / $67.61
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $21.88 / $61.66
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $56.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $22.39 / $67.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $79.43 / $371.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $47.86
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $31.62 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $43.65 / $69.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $1,096.48 / $1,096.48
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $204.17 / $371.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.91
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $91.20 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $75.86 / $87.10