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Nebraska 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
$40.21 / $40.21 / $40.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.52 / $42.89 / $65.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.08 / $95.08 / $95.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.36 / $424.90 / $666.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.82 / $65.70 / $90.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.48 / $94.95 / $111.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.21 / $66.86 / $103.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.77 / $91.88 / $272.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.58 / $100.71 / $112.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.58 / $94.95 / $116.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.77 / $95.22 / $105.21