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Virginia 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
$41.02 / $47.57 / $108.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.92 / $43.72 / $65.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $49.73 / $75.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.27 / $50.27 / $361.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $59.84 / $100.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $46.19 / $60.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.67 / $50.42 / $77.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $64.65 / $100.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.23 / $59.23 / $99.66
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.57 / $59.81 / $100.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.42 / $42.42 / $42.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.25 / $62.76 / $91.30