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Massachusetts 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
$44.09 / $44.47 / $314.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.21 / $46.20 / $113.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.22 / $134.38 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $81.36 / $272.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.86 / $111.25 / $145.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.63 / $77.75 / $107.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.37 / $83.20 / $146.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.21 / $89.72 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.96 / $48.80 / $78.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $102.66 / $133.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.34 / $76.34 / $395.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.79 / $137.55 / $677.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.71 / $210.71 / $210.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.34 / $88.39 / $276.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.86 / $63.94 / $130.58