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Maine rates for HCPCS 95939

Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $426.58 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.81 / $501.19 / $812.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$407.38 / $588.84 / $1,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$501.19 / $707.95 / $1,348.96
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$346.74 / $446.68 / $912.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $588.84 / $1,023.29