go back

Maine rates for HCPCS 95954

Pharmacological or physical activation requiring physician or other qualified health care professional attendance during EEG recording of activation phase (eg, thiopental activation test)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.10 / $119.10 / $119.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.86 / $419.84 / $477.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.22 / $499.99 / $704.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.14 / $594.89 / $937.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.27 / $498.16 / $842.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.85 / $408.49 / $477.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.07 / $615.51 / $861.91