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Arizona 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
$2,511.89 / $2,511.89 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $537.03 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $707.95 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $691.83 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $660.69 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $562.34 / $1,047.13