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Iowa rates for HCPCS 95971

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 simple spinal cord or peripheral nerve (eg, sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional

Facilitymedian $100 · 10th–90th $52–$2690%10%10th90th$100Professionalmedian $51 · 10th–90th $36–$1260%10%10th90th$51$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
$52.48 / $169.82 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $125.89
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $67.61 / $223.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $91.20 / $190.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $102.33 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $102.33 / $131.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $102.33 / $125.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $64.57 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $79.43 / $128.82
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $112.20