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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
$43.65 / $44.67 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $45.71 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $100.00 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $81.28 / $125.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $60.26 / $91.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $85.11 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $83.18 / $109.65