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Pennsylvania 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
$26.95 / $30.20 / $89.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.10 / $170.43 / $206.34
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.62 / $153.12 / $277.39
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.43 / $31.43 / $31.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.55 / $164.24 / $322.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.81 / $233.12 / $307.45
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.20 / $30.20 / $89.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.27 / $177.24 / $371.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.85 / $136.47 / $267.83
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.20 / $31.43 / $31.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.33 / $164.24 / $323.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.43 / $27.43 / $50.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.43 / $169.35 / $184.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.03 / $148.94 / $266.22