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Idaho 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
$41.52 / $47.11 / $67.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $71.00 / $85.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.12 / $59.62 / $71.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.31 / $74.52 / $83.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $60.85 / $76.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.13 / $64.68 / $76.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $64.51 / $87.73