go back

Pennsylvania rates for HCPCS 95921

Tstg Ans Funcj Cardiovagal Innervaj Parasymp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.18 / $46.88 / $46.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $83.40 / $101.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.81 / $43.07 / $62.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.78 / $41.09 / $52.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.41 / $94.86 / $94.86
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.59 / $87.76 / $148.44
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.57 / $45.21 / $82.60
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.17 / $42.55 / $72.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.00 / $50.00 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.94 / $102.27 / $179.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.10 / $55.93 / $98.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.42 / $45.92 / $81.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.77 / $128.76 / $173.13
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.50 / $62.87 / $85.35
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.27 / $65.89 / $85.78
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.45 / $65.98 / $82.20
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.88 / $46.88 / $46.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.52 / $86.17 / $122.79
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.11 / $45.28 / $83.02
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.88 / $41.94 / $63.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.77 / $75.13 / $153.08
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.59 / $50.00 / $50.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.03 / $102.27 / $199.16
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.67 / $56.54 / $101.52
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.69 / $49.17 / $99.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.42 / $43.42 / $47.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $84.52 / $90.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.38 / $43.42 / $45.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.22 / $41.09 / $45.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.87 / $92.68 / $165.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.58 / $52.44 / $87.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.41 / $41.14 / $76.13