go back

South Dakota rates for HCPCS 95812

Electroencephalogram Extend Monitoring 41-60 Min

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.88 / $60.88 / $60.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.49 / $360.23 / $832.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.96 / $56.20 / $263.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.82 / $739.08 / $923.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.15 / $115.60 / $143.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.64 / $653.28 / $2,222.29
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.55 / $115.10 / $774.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.61 / $671.93 / $849.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.72 / $568.37 / $684.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.81 / $91.28 / $107.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.64 / $600.21 / $985.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.55 / $103.62 / $121.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.30 / $850.70 / $850.70
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.80 / $135.50 / $135.50