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Massachusetts 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
$43.90 / $43.90 / $43.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.86 / $145.77 / $200.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.09 / $46.88 / $126.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.30 / $104.68 / $153.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.76 / $106.83 / $216.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.71 / $233.87 / $944.58
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.60 / $87.00 / $386.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.36 / $165.60 / $782.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.42 / $241.43 / $320.85
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.58 / $82.66 / $111.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.34 / $259.50 / $446.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.24 / $84.79 / $150.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.34 / $174.71 / $295.07
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $78.69 / $178.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.59 / $272.32 / $366.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.66 / $101.79 / $135.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.93 / $172.49 / $231.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.83 / $107.15 / $132.62
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.69 / $102.69 / $216.22
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.37 / $252.45 / $944.58
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.23 / $92.47 / $386.24
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.09 / $188.82 / $782.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.62 / $202.79 / $385.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.68 / $73.98 / $140.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.36 / $133.31 / $249.29