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Michigan 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
$758.81 / $1,467.88 / $1,839.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.92 / $650.82 / $783.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.70 / $2,103.78 / $4,300.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.05 / $874.25 / $1,218.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.71 / $854.47 / $3,094.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.68 / $1,467.88 / $1,839.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.68 / $675.75 / $893.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.32 / $504.36 / $835.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.89 / $595.12 / $916.51