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Indiana 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
$40.34 / $40.64 / $43.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $42.12 / $50.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.65 / $76.65 / $76.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.51 / $42.51 / $82.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.59 / $42.51 / $59.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.99 / $47.04 / $54.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.93 / $43.45 / $56.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.45 / $52.77 / $77.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.42 / $42.42 / $42.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.25 / $49.54 / $79.48