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Montana 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
Professional
Modifier
Low / Median / High Price
$127.69 / $160.56 / $238.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.06 / $42.06 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.38 / $216.31 / $614.34
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.06 / $42.06 / $50.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.66 / $236.29 / $370.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.48 / $218.08 / $256.74