go back

Maine rates for HCPCS 95921

Tstg Ans Funcj Cardiovagal Innervaj Parasymp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.60 / $47.60 / $47.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $87.51 / $142.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.99 / $46.18 / $67.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.35 / $41.99 / $74.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.78 / $92.07 / $158.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.05 / $47.01 / $79.61
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.73 / $46.03 / $79.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.77 / $134.26 / $200.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.13 / $69.31 / $102.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.64 / $63.62 / $101.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.75 / $112.10 / $189.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.55 / $56.27 / $116.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.19 / $55.83 / $115.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.78 / $89.94 / $120.83
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.89 / $46.18 / $62.09
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.88 / $42.33 / $58.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.70 / $119.41 / $179.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.59 / $69.89 / $98.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.14 / $56.55 / $91.15