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Utah 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 $52 · 10th–90th $52$520%50%$52Professionalmedian $107 · 10th–90th $45$2340%5%10%10th90th$107$20.0$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
Facility
Modifier
26
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $151.36 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $52.48 / $107.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $104.71 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $199.53 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $64.57 / $95.50
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $131.83 / $194.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $177.83
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $173.78 / $398.11
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $61.66 / $95.50
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $109.65 / $309.03
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $194.98 / $288.40
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $72.44 / $114.82
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $117.49 / $144.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $114.82 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $158.49 / $263.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $52.48 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $102.33 / $190.55