go back

New Mexico 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
$35.03 / $35.03 / $35.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $42.36 / $65.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $41.05 / $81.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.41 / $63.89 / $90.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $66.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.74 / $40.86 / $52.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $66.02 / $98.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.88 / $69.84 / $100.33