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Arizona 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
Professional
Modifier
Low / Median / High Price
$36.65 / $42.37 / $66.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.87 / $51.87 / $69.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.46 / $167.70 / $277.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.39 / $39.18 / $48.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.27 / $69.27 / $69.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.71 / $59.29 / $99.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.11 / $43.41 / $83.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.99 / $53.34 / $276.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.11 / $68.11 / $68.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $46.99 / $91.44