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Maine rates for HCPCS 95957

Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.22 / $108.22 / $108.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.00 / $347.32 / $487.30
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.31 / $105.12 / $156.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.78 / $253.00 / $330.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.74 / $320.58 / $533.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.39 / $123.76 / $182.51
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.35 / $196.84 / $350.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.38 / $427.10 / $629.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.26 / $157.60 / $235.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.55 / $273.95 / $393.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.18 / $376.98 / $637.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.41 / $128.97 / $218.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.76 / $248.00 / $419.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.00 / $347.32 / $552.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.31 / $108.22 / $177.90
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.78 / $253.00 / $364.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.29 / $431.22 / $600.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.81 / $153.27 / $201.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.19 / $281.87 / $398.29