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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)

Facilitymedian $62 · 10th–90th $0–$1580%20%10th90th$62Professionalmedian $50 · 10th–90th $39–$2090%20%10th90th$50$0.0$0.2$2.0$20.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $61.66 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $50.12 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $72.44 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $56.23
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $53.70 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $46.77 / $81.28