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Texas 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
$37.32 / $45.24 / $233.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.84 / $50.55 / $67.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.83 / $55.19 / $59.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.68 / $107.49 / $241.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $50.19 / $76.20
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.79 / $93.00 / $202.41
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.17 / $61.98 / $82.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.57 / $60.52 / $60.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.40 / $64.20 / $98.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.49 / $238.55 / $238.55
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.49 / $316.98 / $405.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.58 / $51.15 / $79.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.01 / $73.23 / $111.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.99 / $54.46 / $82.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.57 / $51.18 / $79.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.09 / $69.67 / $127.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.84 / $55.32 / $90.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.86 / $47.91 / $64.79