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Florida 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)

Facilitymedian $40 · 10th–90th $35–$3160%20%40%10th90th$40Professionalmedian $47 · 10th–90th $38–$1780%20%10th90th$47$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $38.90 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $72.44 / $79.43
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $66.07 / $109.65
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $58.88 / $107.15
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $45.71 / $45.71
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $36.31 / $52.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $36.31 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $50.12 / $91.20
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $46.77