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Idaho 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
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.89 / $53.84 / $77.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.28 / $81.42 / $96.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.25 / $67.98 / $81.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $84.42 / $95.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $69.78 / $87.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.12 / $259.17 / $332.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.74 / $74.13 / $87.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.01 / $73.00 / $102.20