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Minnesota 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 $182 · 10th–90th $54–$9770%5%10th90th$182Professionalmedian $72 · 10th–90th $39–$1700%10%10th90th$72$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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 / $60.26 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $60.26 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $316.23 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $208.93 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $125.89 / $218.78
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $194.98 / $398.11
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $125.89 / $186.21
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $89.13 / $173.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $123.03 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $245.47 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $100.00 / $177.83