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Wisconsin rates for HCPCS 95721

Eeg Complete Std Phys/Qhp>36 Hr<60 Hr W/O Video

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.66 / $220.99 / $767.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.62 / $217.68 / $321.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.64 / $292.02 / $882.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.17 / $637.08 / $977.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.80 / $514.25 / $734.58
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.42 / $225.25 / $389.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.68 / $225.25 / $389.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.69 / $632.78 / $1,299.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.70 / $190.52 / $412.59
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.42 / $225.25 / $403.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.48 / $479.59 / $682.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.42 / $920.42 / $920.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.79 / $1,038.15 / $1,299.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.76 / $1,038.66 / $1,059.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.16 / $453.08 / $778.61