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Pennsylvania 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
$95.81 / $106.79 / $106.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.07 / $284.98 / $456.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.56 / $99.27 / $145.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.69 / $188.48 / $330.97
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.32 / $298.02 / $506.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.67 / $145.27 / $247.72
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.54 / $188.99 / $321.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.59 / $114.59 / $114.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.92 / $343.83 / $616.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.03 / $127.27 / $220.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.46 / $216.70 / $434.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.77 / $437.10 / $585.60
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.77 / $144.49 / $195.97
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.00 / $292.61 / $381.07
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.79 / $106.79 / $106.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.28 / $330.29 / $541.51
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.15 / $104.21 / $181.78
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.65 / $226.11 / $446.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.67 / $248.10 / $476.54
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.62 / $114.59 / $114.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.51 / $346.46 / $663.24
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.49 / $128.44 / $232.97
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.04 / $223.20 / $460.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.32 / $98.32 / $107.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.56 / $264.27 / $284.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.06 / $98.32 / $102.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.46 / $165.95 / $182.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.27 / $286.83 / $492.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.48 / $119.60 / $193.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.68 / $178.35 / $314.41