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Maine rates for HCPCS 95926

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.76 / $28.76 / $28.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.50 / $157.71 / $238.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.18 / $176.89 / $257.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.75 / $203.16 / $354.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.54 / $200.79 / $400.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.50 / $157.71 / $238.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.06 / $187.32 / $323.39