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Maine 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
$46.10 / $46.10 / $46.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $46.10 / $66.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.22 / $54.40 / $75.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $68.06 / $99.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.19 / $55.40 / $94.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.36 / $46.85 / $66.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $62.79 / $86.76