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Pennsylvania 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
$53.04 / $223.57 / $402.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.19 / $50.19 / $75.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.06 / $58.72 / $82.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.31 / $51.17 / $89.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $78.48 / $78.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $64.11 / $109.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.78 / $72.02 / $98.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.54 / $412.04 / $515.05
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.50 / $57.27 / $83.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $223.57 / $427.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $54.15 / $125.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $55.20 / $102.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $78.48 / $78.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $64.25 / $113.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.14 / $49.08 / $56.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.65 / $49.10 / $56.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $56.25 / $98.50