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Rhode Island 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
$56.24 / $323.39 / $323.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.19 / $44.47 / $61.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.43 / $94.21 / $104.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $42.23 / $64.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.91 / $53.57 / $94.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.52 / $55.11 / $76.67