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South Dakota 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 $51 · 10th–90th $40–$890%20%10th90th$51Professionalmedian $59 · 10th–90th $37–$1120%10%10th90th$59$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
$40.74 / $40.74 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $100.00 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $61.66 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $79.43 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $95.50 / $117.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $91.20 / $112.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $74.13 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $72.44 / $104.71
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $117.49