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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
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $107.15 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $194.98
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $173.78 / $204.17
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $123.03 / $177.83