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Vermont 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
$48.98 / $48.98 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $89.13 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $46.77 / $61.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $42.66 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $109.65 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $60.26 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $50.12 / $85.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $323.59
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $64.57 / $162.18
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $354.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $64.57 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $57.54 / $169.82