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Nationwide rates for HCPCS 95972

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

Facilitymedian $89 · 10th–90th $43–$2950%20%10th90th$89Professionalmedian $60 · 10th–90th $38–$1410%20%10th90th$60$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$41.69 / $77.62 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $288.40 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $79.43 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $181.97 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $87.10 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $199.53 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $74.13 / $141.25

See more rates by state

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