go back

Alabama 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.56 / $53.56 / $54.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $44.37 / $55.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.09 / $236.76 / $318.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.65 / $47.70 / $55.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.63 / $46.98 / $67.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.59 / $44.00 / $69.70