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Missouri 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
$42.89 / $45.21 / $219.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $45.32 / $93.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.70 / $47.70 / $47.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.00 / $1,466.00 / $1,641.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.33 / $47.25 / $82.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.89 / $61.61 / $95.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.82 / $52.78 / $104.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.65 / $68.56 / $276.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.42 / $42.42 / $68.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.20 / $57.39 / $98.37