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Washington 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
$57.37 / $77.66 / $123.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.56 / $148.08 / $219.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.09 / $48.09 / $77.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.45 / $105.16 / $159.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.82 / $105.67 / $114.26
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.22 / $43.22 / $43.22
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.87 / $198.29 / $198.29
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $259.16 / $1,048.88
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.44 / $92.68 / $386.24
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.90 / $160.06 / $782.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $228.75 / $378.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.57 / $78.79 / $131.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.49 / $148.12 / $257.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.64 / $65.76 / $115.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.50 / $181.42 / $374.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.47 / $62.30 / $108.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.48 / $118.23 / $268.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $109.01 / $295.97
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.68 / $86.47 / $88.44
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.66 / $67.73 / $99.16
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.20 / $145.38 / $259.26
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.34 / $59.34 / $59.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.17 / $275.37 / $339.18
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.04 / $98.03 / $119.30
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.54 / $179.14 / $220.27
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$217.18 / $217.18 / $354.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.25 / $240.61 / $324.08
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.52 / $85.21 / $115.40
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.73 / $154.49 / $211.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.74 / $220.15 / $355.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.57 / $75.44 / $131.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.37 / $149.40 / $230.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.45 / $117.41 / $133.56
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.15 / $42.80 / $46.07
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.29 / $74.59 / $87.49