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Rhode Island 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
$64.26 / $170.50 / $170.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.19 / $52.39 / $70.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $180.55 / $221.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $47.83 / $73.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.19 / $61.05 / $106.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.83 / $61.37 / $94.96