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Montana 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
Professional
Modifier
Low / Median / High Price
$139.46 / $184.50 / $261.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.12 / $43.12 / $277.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.12 / $43.12 / $51.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.97 / $235.98 / $670.45
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.12 / $43.12 / $51.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.27 / $266.43 / $428.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $229.09 / $490.00