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New Jersey 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 $71 · 10th–90th $43–$3470%10%20%10th90th$71Professionalmedian $49 · 10th–90th $36–$950%10%10th90th$49$20.0$50.0$100.0$200.0$500.0

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
$42.66 / $70.79 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $46.77 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $58.88 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $64.57 / $117.49
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $77.62 / $100.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $467.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $57.54 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $48.98 / $95.50