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Kentucky 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
$42.54 / $43.54 / $68.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $43.11 / $67.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.80 / $55.80 / $55.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $34.85 / $50.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.99 / $55.41 / $63.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $53.43 / $79.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.27 / $69.27 / $69.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.39 / $58.36 / $88.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $32.34 / $37.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.42 / $42.42 / $42.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $53.11 / $90.53