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Arkansas 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
$55.48 / $55.89 / $83.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $46.91 / $67.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.33 / $69.33 / $69.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.28 / $57.29 / $57.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.17 / $64.03 / $82.60
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.73 / $79.73 / $80.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.11 / $68.11 / $68.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $55.87 / $91.50