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Massachusetts 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 $66 · 10th–90th $39–$3240%10%10th90th$66Professionalmedian $71 · 10th–90th $39–$1740%10%10th90th$71$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
$38.90 / $52.48 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $58.88 / $204.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $147.91 / $660.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $87.10 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $134.90 / $251.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $239.88 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $91.20 / $186.21
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $42.66 / $97.72
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $67.61 / $120.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $77.62 / $154.88
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $147.91 / $660.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $87.10 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $173.78 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $93.33 / $165.96