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Ohio 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
$42.55 / $77.42 / $137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.56 / $130.54 / $196.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.65 / $42.92 / $68.28
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.45 / $82.82 / $128.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.47 / $114.14 / $137.32
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.46 / $43.22 / $57.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.24 / $132.63 / $215.60
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.15 / $50.86 / $82.79
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.10 / $78.30 / $136.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.49 / $72.01 / $133.51
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.38 / $50.38 / $50.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.94 / $160.21 / $340.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.35 / $61.70 / $115.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.75 / $98.95 / $221.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.38 / $50.38 / $50.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.81 / $157.51 / $282.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.71 / $60.01 / $86.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.75 / $96.26 / $198.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.81 / $82.74 / $166.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $160.11 / $281.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.15 / $57.13 / $98.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.45 / $101.09 / $181.23