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Michigan 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
$31.72 / $31.72 / $31.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.69 / $165.20 / $193.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.84 / $199.17 / $251.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.96 / $215.18 / $614.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.93 / $26.93 / $31.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.75 / $157.88 / $203.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $122.29 / $202.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $149.27 / $215.76