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California rates for HCPCS 95923

Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.92 / $47.27 / $268.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.87 / $148.08 / $268.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.21 / $45.43 / $80.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.64 / $105.15 / $159.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.36 / $117.98 / $137.32
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.46 / $38.46 / $43.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.82 / $144.60 / $284.17
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.72 / $54.47 / $113.37
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.34 / $89.70 / $181.81
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $127.60 / $302.72
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.99 / $42.70 / $101.85
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.45 / $81.78 / $193.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.78 / $193.23 / $416.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.26 / $58.69 / $128.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.87 / $133.19 / $300.26
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.81 / $165.89 / $203.59
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.23 / $54.15 / $66.45
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.58 / $111.74 / $137.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.73 / $146.27 / $272.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.83 / $49.26 / $84.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.31 / $101.58 / $165.64
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.69 / $198.29 / $216.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.58 / $944.58 / $982.43
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$353.25 / $386.24 / $386.24
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$782.04 / $782.04 / $782.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $167.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.72 / $208.93 / $373.13
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.83 / $59.34 / $122.78
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.95 / $133.88 / $264.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.73 / $429.73 / $429.73
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$150.18 / $150.18 / $150.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$279.54 / $279.54 / $279.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.92 / $141.96 / $386.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.68 / $49.78 / $141.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.91 / $93.20 / $242.36