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Washington, DC 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
$39.81 / $39.81 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $46.77 / $371.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $50.12 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $67.61 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $83.18 / $123.03