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Tennessee 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
$41.07 / $42.33 / $109.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.60 / $45.74 / $66.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.11 / $77.11 / $77.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.21 / $56.70 / $86.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.36 / $57.04 / $101.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.75 / $210.71 / $210.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.33 / $276.67 / $353.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.11 / $68.11 / $68.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $52.45 / $91.52