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Utah rates for HCPCS 95717

Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation and report, 2-12 hours of EEG recording; without video

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.60 / $119.60 / $121.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $104.58 / $121.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.61 / $146.61 / $225.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.61 / $93.51 / $116.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.65 / $149.36 / $189.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.45 / $129.13 / $176.40