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Hawaii 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
Professional
Modifier
Low / Median / High Price
$38.92 / $42.37 / $66.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $55.80 / $56.64
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.14 / $58.69 / $69.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.63 / $50.87 / $59.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $53.45 / $71.48
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $53.22 / $57.88