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Montana 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)

Facilitymedian $74 · 10th–90th $45–$910%50%10th90th$74Professionalmedian $52 · 10th–90th $39–$830%20%10th90th$52$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $46.77 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $81.28 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $177.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $74.13 / $79.43
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $74.13 / $79.43
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $48.98 / $95.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $85.11 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $74.13 / $87.10