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Utah 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
$60.26 / $61.66 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $52.48 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $112.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $112.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $194.98 / $426.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $69.18 / $97.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $79.43 / $95.50
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $74.13 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $58.88 / $87.10