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West Virginia 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
$603.48 / $603.48 / $603.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.19 / $49.30 / $59.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.47 / $56.64 / $61.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.87 / $54.85 / $54.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $78.48 / $78.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.21 / $61.95 / $193.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.07 / $483.07 / $483.07
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.53 / $58.53 / $63.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $61.78 / $88.64