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Maryland 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
$461.93 / $628.79 / $820.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.38 / $631.36 / $814.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.23 / $814.37 / $1,641.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.16 / $809.61 / $1,104.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.52 / $560.90 / $1,140.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.48 / $838.13 / $1,047.66