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Vermont 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
$56.75 / $56.75 / $57.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.89 / $54.47 / $57.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.68 / $72.70 / $179.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $68.67 / $114.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.05 / $68.87 / $114.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.22 / $74.12 / $209.48