go back

Maine rates for HCPCS 95925

Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.38 / $29.38 / $29.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.44 / $163.06 / $261.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.79 / $189.99 / $281.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.75 / $222.77 / $409.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.16 / $199.09 / $336.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.44 / $184.57 / $279.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.40 / $221.95 / $360.96