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Idaho rates for HCPCS 95921

Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval, Valsalva ratio, and 30:15 ratio

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $45.71 / $63.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $43.65 / $63.10
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$269.15 / $269.15 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $173.78
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $85.11 / $89.13
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $79.43 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $138.04 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $70.79 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $66.07 / $81.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $158.49 / $181.97
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $77.62 / $89.13
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.15 / $81.28 / $91.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$269.15 / $269.15 / $269.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $194.98
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $63.10 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $64.57 / $97.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $97.72 / $323.59
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $42.66 / $79.43
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $42.66 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $165.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $64.57 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.74 / $57.54 / $77.62