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Nationwide rates for HCPCS 95984

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, each additional 15 minutes face-to-face time with physician or other qualified health care professional (List separately in addition to code for primary procedure)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.99 / $47.57 / $97.00	Facility	$45.99	$47.57	$97.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $45.32 / $66.59	Professional	$39.21	$45.32	$66.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $293.00 / $876.00	Facility	$52.48	$293.00	$876.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $51.96 / $79.56	Professional	$38.47	$51.96	$79.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $69.27 / $69.27	Facility	$69.27	$69.27	$69.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $61.61 / $101.56	Professional	$44.24	$61.61	$101.56
United Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $47.82 / $58.94	Facility	$42.42	$47.82	$58.94
United Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $55.88 / $93.45	Professional	$41.79	$55.88	$93.45

Nationwide rates for HCPCS 95984

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