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Utah 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
$31.24 / $31.24 / $31.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.96 / $172.56 / $206.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $206.42 / $370.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $123.13 / $168.84
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$481.30 / $481.30 / $481.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.96 / $256.27 / $346.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.55 / $177.75 / $265.01