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Alaska rates for HCPCS 92549

Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report; with motor control test (MCT) and adaptation test (ADT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $66.07 / $87.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $44.67 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $208.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $117.49 / $158.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $173.78 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $128.82 / $218.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $263.03 / $316.23
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $177.83 / $223.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $158.49 / $204.17
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $79.43 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $169.82 / $363.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $125.89 / $275.42