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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)

Facilitymedian $59 · 10th–90th $43–$3720%20%10th90th$59Professionalmedian $45 · 10th–90th $39–$740%20%10th90th$45$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $58.88 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $44.67 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $407.38 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $50.12 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $54.95 / $89.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $48.98 / $75.86