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Hawaii rates for HCPCS 95983

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 brain neurostimulator pulse generator/transmitter programming, first 15 minutes face-to-face time with physician or other qualified health care professional

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $52.48 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $64.57 / $81.28
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $69.18 / $81.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $58.88 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $60.26 / $79.43
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $60.26 / $66.07