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Kansas 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
$51.08 / $71.51 / $97.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.21 / $47.90 / $97.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.99 / $44.99 / $44.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.70 / $66.70 / $67.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.63 / $65.39 / $139.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.61 / $47.20 / $119.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.15 / $69.54 / $276.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.42 / $68.11 / $70.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $59.13 / $110.57