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Michigan 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
$58.05 / $74.05 / $110.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.34 / $53.04 / $64.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.51 / $73.00 / $143.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $75.81 / $90.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.45 / $76.27 / $201.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.73 / $74.05 / $110.39
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.89 / $55.40 / $75.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.68 / $33.83 / $49.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.06 / $58.43 / $84.25