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Massachusetts 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
Facility
Modifier
26
Low / Median / High Price
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $87.10 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $44.67 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $42.66 / $100.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.72 / $109.65 / $281.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $123.03 / $562.34
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $70.79 / $316.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $67.61 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $257.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $85.11 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $147.91 / $281.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $72.44 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $74.13 / $141.25
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $63.10 / $134.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $134.90 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $79.43 / $123.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $89.13 / $131.83
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.72 / $109.65 / $281.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $125.89 / $562.34
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $70.79 / $316.23
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $67.61 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $134.90 / $281.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $72.44 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $67.61 / $138.04