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Louisiana 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
$52.44 / $53.21 / $63.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $53.21 / $77.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.83 / $69.83 / $69.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.47 / $130.54 / $206.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $51.95 / $78.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.74 / $33.74 / $36.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $51.34 / $79.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.25 / $48.82 / $83.51