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Minnesota 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
$45.99 / $46.37 / $46.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $46.37 / $78.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $47.08 / $137.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $117.69 / $152.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.28 / $149.30 / $359.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.01 / $110.85 / $178.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.66 / $136.25 / $282.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.01 / $107.25 / $162.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.53 / $68.81 / $99.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.95 / $99.37 / $276.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.30 / $91.26 / $163.38