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Idaho rates for HCPCS 95958

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.92 / $685.40 / $836.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.90 / $987.32 / $1,124.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.50 / $710.80 / $980.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.74 / $1,204.58 / $1,376.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $396.38 / $1,109.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,884.77 / $2,543.38 / $3,167.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.09 / $1,045.25 / $1,157.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.79 / $791.52 / $1,121.32