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Maine 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
$52.43 / $52.43 / $53.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.89 / $53.17 / $75.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.44 / $62.29 / $86.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.93 / $77.43 / $114.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.86 / $62.76 / $108.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.63 / $53.67 / $90.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.78 / $72.02 / $114.47