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New York 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 $63 · 10th–90th $43–$1150%20%10th90th$63Professionalmedian $50 · 10th–90th $36–$1070%20%10th90th$50$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$42.66 / $63.10 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $46.77 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $50.12 / $95.50
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $173.78 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $69.18 / $169.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $75.86 / $141.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $75.86 / $104.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $102.33
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $56.23 / $114.82
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $70.79 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $190.55 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $61.66 / $165.96
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $44.67 / $138.04
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $134.90