go back

Indiana 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
$620.57 / $620.57 / $699.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.06 / $620.57 / $723.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $455.00 / $1,515.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.77 / $455.00 / $646.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.16 / $524.72 / $847.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.61 / $464.60 / $770.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.83 / $615.50 / $1,159.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.04 / $553.46 / $969.62