go back

Minnesota 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.32 / $51.58 / $51.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.95 / $50.49 / $68.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.81 / $313.33 / $1,865.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.67 / $117.74 / $163.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.92 / $167.22 / $402.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.70 / $115.21 / $184.89
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.14 / $152.60 / $316.75
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.03 / $111.64 / $161.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.89 / $69.83 / $108.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.92 / $108.95 / $477.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $101.86 / $184.32