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South Dakota 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
$30.11 / $30.11 / $30.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.96 / $199.63 / $261.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.94 / $325.22 / $406.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.60 / $254.54 / $1,185.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.93 / $273.04 / $342.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.82 / $252.95 / $297.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.22 / $44.54 / $52.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.56 / $278.74 / $349.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.89 / $375.50 / $375.50