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California 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
$42.00 / $45.75 / $403.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.21 / $46.04 / $125.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.07 / $49.23 / $97.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $293.00 / $876.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.51 / $58.18 / $117.65
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.55 / $87.20 / $172.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $48.94 / $117.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $56.92 / $118.04
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.29 / $48.44 / $65.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.02 / $48.44 / $85.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.75 / $210.71 / $210.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.33 / $276.67 / $353.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.51 / $52.45 / $71.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.90 / $63.58 / $117.59
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.66 / $143.66 / $146.06
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.76 / $44.02 / $57.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.42 / $49.77 / $49.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $49.33 / $112.45