go back

Maryland 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
$84.50 / $84.50 / $84.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.19 / $50.55 / $68.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.74 / $57.49 / $69.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.54 / $69.80 / $129.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.09 / $53.41 / $75.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.21 / $56.11 / $98.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.50 / $58.07 / $72.62