go back

Georgia 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
$40.65 / $40.98 / $46.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.60 / $44.73 / $140.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.65 / $76.65 / $78.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.24 / $59.14 / $91.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.70 / $55.70 / $55.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.24 / $59.78 / $102.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.82 / $54.15 / $189.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.32 / $60.39 / $77.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.11 / $68.11 / $68.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.79 / $63.90 / $103.66