go back

Pennsylvania rates for HCPCS 95816

Electroencephalogram (EEG); including recording awake and drowsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.45 / $59.53 / $97.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.81 / $366.53 / $663.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.33 / $59.53 / $144.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.26 / $305.05 / $492.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.09 / $395.10 / $572.90
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.49 / $83.71 / $102.02
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.54 / $424.59 / $511.65
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.20 / $63.67 / $94.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.16 / $400.19 / $646.11
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.46 / $89.40 / $134.94
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.23 / $328.52 / $549.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.88 / $63.88 / $63.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.33 / $402.91 / $714.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.32 / $70.64 / $123.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.50 / $329.70 / $648.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.34 / $588.60 / $776.69
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.58 / $80.61 / $109.25
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$348.78 / $507.99 / $662.85
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $438.67 / $481.39
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.60 / $67.76 / $105.33
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.10 / $418.55 / $728.43
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.20 / $63.67 / $114.19
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.45 / $79.00 / $97.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.82 / $428.25 / $852.01
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.70 / $73.59 / $145.88
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.27 / $347.75 / $679.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.06 / $378.43 / $656.84
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.20 / $63.88 / $63.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.82 / $417.42 / $829.90
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.75 / $70.45 / $129.97
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.80 / $350.11 / $696.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.58 / $54.58 / $62.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.18 / $364.07 / $397.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.37 / $54.58 / $56.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.77 / $309.49 / $340.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.15 / $375.54 / $689.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.31 / $66.19 / $107.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.35 / $314.13 / $569.17