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North Dakota 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
$44.16 / $44.16 / $44.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.25 / $45.70 / $66.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.05 / $99.79 / $109.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.52 / $91.65 / $136.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.16 / $60.50 / $85.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $88.56 / $276.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.25 / $79.70 / $105.21