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West 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.48 / $462.48 / $462.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.53 / $19.98 / $60.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.54 / $23.42 / $32.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.03 / $20.82 / $20.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.80 / $29.80 / $29.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.36 / $24.69 / $147.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.51 / $219.51 / $370.21
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $22.73 / $22.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.40 / $361.40 / $361.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $36.90 / $79.48