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Oklahoma 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
$40.61 / $40.61 / $41.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.21 / $42.00 / $46.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.76 / $53.76 / $53.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.70 / $57.16 / $67.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $57.80 / $71.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.11 / $42.65 / $69.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $57.08 / $276.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.42 / $68.11 / $81.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $48.89 / $83.47