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New York 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
$42.15 / $59.24 / $101.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $46.10 / $83.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $47.83 / $79.56
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.48 / $62.48 / $62.48
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.48 / $62.48 / $62.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.27 / $69.27 / $69.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.19 / $66.51 / $151.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $52.16 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.97 / $58.79 / $87.73
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $54.17 / $99.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.75 / $124.75 / $124.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.26 / $47.26 / $47.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.27 / $69.27 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.21 / $66.06 / $147.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $52.19 / $134.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $50.10 / $62.82
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $56.34 / $108.90