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New Hampshire 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
$53.29 / $54.06 / $297.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $51.14 / $63.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.29 / $158.29 / $158.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.90 / $62.29 / $95.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.94 / $85.16 / $166.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.96 / $89.27 / $169.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.73 / $79.68 / $173.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.64 / $46.92 / $62.95