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Maine 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
$608.80 / $608.80 / $608.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.34 / $608.80 / $750.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.33 / $774.90 / $1,303.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.07 / $887.55 / $1,410.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.59 / $921.02 / $1,556.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.34 / $608.80 / $1,268.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.19 / $866.18 / $1,433.61