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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 $41.69 / $70.79 / $691.83	Facility	$41.69	$70.79	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $223.87	Professional	$38.90	$46.77	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $81.28 / $1,479.11	Facility	$42.66	$81.28	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $87.10	Professional	$34.67	$52.48	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $371.54	Facility	$69.18	$131.83	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $123.03	Professional	$42.66	$63.10	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $41.69 / $61.66	Facility	$32.36	$41.69	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $97.72	Professional	$38.02	$53.70	$97.72

Nationwide rates for HCPCS 95984

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