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Wyoming 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
Professional
Modifier
Low / Median / High Price
$117.49 / $129.50 / $140.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.18 / $42.92 / $47.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.31 / $83.85 / $84.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.00 / $219.00 / $219.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.00 / $78.00 / $78.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.00 / $141.00 / $141.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.63 / $251.41 / $386.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.68 / $68.88 / $94.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.95 / $180.68 / $293.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.59 / $245.66 / $420.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.80 / $78.61 / $151.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.64 / $157.25 / $269.08