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North Carolina 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
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $85.11 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $44.67 / $87.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $41.69 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $83.18 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $40.74 / $42.66
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $60.26 / $141.25
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.31 / $42.66 / $114.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.72 / $50.12 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $117.49 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $67.61 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $52.48 / $107.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $87.10 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $91.20 / $169.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $51.29 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $40.74 / $79.43
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$281.84 / $281.84 / $281.84
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $707.95
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$316.23 / $316.23 / $346.74
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.23 / $316.23 / $363.08