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Utah rates for HCPCS 95922

Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuver and at least 5 minutes of passive tilt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.43 / $55.43 / $55.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $98.85 / $113.46
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.27 / $53.95 / $61.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.62 / $128.80 / $202.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.79 / $64.95 / $103.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $37.72 / $98.49
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$203.75 / $203.75 / $203.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.63 / $150.71 / $206.83
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.00 / $75.44 / $102.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $115.34 / $165.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.01 / $58.74 / $85.09