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Maryland 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
$78.56 / $78.56 / $78.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.19 / $43.89 / $61.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.24 / $50.27 / $60.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.06 / $60.86 / $113.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $47.11 / $66.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.39 / $69.39 / $69.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $47.80 / $87.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $50.60 / $63.29