go back

South Carolina 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
$44.37 / $58.65 / $62.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.19 / $43.72 / $57.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.83 / $42.83 / $42.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.51 / $431.96 / $736.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $54.00 / $83.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $55.11 / $85.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.57 / $51.89 / $93.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $40.43 / $58.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $49.18 / $83.14