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West 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
$603.48 / $603.48 / $603.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.19 / $43.29 / $52.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.42 / $49.97 / $54.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.12 / $48.40 / $48.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.27 / $69.27 / $69.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.76 / $53.86 / $167.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.08 / $483.08 / $483.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $75.31 / $75.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $53.06 / $76.98