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Alaska rates for HCPCS 95958

Wada activation test for hemispheric function, including electroencephalographic (EEG) monitoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.94 / $1,641.94 / $1,641.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.75 / $646.59 / $1,342.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.58 / $1,394.08 / $1,792.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.73 / $1,342.64 / $2,054.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.50 / $2,064.98 / $2,791.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.00 / $2,192.50 / $3,463.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.92 / $1,342.64 / $2,054.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.63 / $1,569.40 / $3,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.40 / $1,434.62 / $2,868.80