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South Dakota 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
$29.49 / $29.49 / $29.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.71 / $174.31 / $238.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.85 / $298.00 / $372.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.29 / $242.60 / $1,025.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.79 / $263.89 / $327.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.24 / $231.51 / $272.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.43 / $42.89 / $50.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.29 / $242.60 / $314.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.89 / $343.70 / $343.70