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Illinois 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
$691.59 / $872.26 / $872.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.92 / $646.59 / $872.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.60 / $1,707.48 / $6,926.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.46 / $713.96 / $1,140.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.58 / $1,337.96 / $2,895.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.56 / $897.51 / $1,278.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.39 / $913.05 / $1,226.38
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.90 / $857.18 / $923.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $208.91 / $901.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.26 / $657.45 / $1,213.32