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Texas 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
$32.72 / $39.69 / $148.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.47 / $44.37 / $60.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.83 / $48.10 / $51.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.89 / $109.89 / $221.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.04 / $43.58 / $66.81
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.08 / $43.08 / $488.70
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $54.70 / $72.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.74 / $33.74 / $40.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.36 / $55.97 / $86.02
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.45 / $44.84 / $70.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $63.85 / $98.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.52 / $48.00 / $72.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.43 / $44.84 / $69.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.81 / $60.86 / $111.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.42 / $68.11 / $70.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.92 / $48.89 / $79.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.61 / $41.76 / $56.47