go back

Montana 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

Facilitymedian $69 · 10th–90th $69$810%50%90th$69Professionalmedian $107 · 10th–90th $43$2190%5%10th90th$107$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $151.36 / $281.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $46.77 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $97.72 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $190.55
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $69.18 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $162.18 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $61.66 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $104.71 / $389.05
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $213.80 / $288.40
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $69.18 / $81.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $269.15 / $338.84
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $63.10 / $97.72
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $112.20 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $213.80 / $269.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $75.86 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $138.04 / $190.55