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Connecticut 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
$61.62 / $110.65 / $859.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.92 / $46.63 / $146.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $56.12 / $80.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $65.92 / $129.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.47 / $58.79 / $87.73
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.55 / $137.55 / $137.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $69.04 / $131.81