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Minnesota 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
$750.47 / $750.47 / $750.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.90 / $723.37 / $907.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.11 / $1,819.03 / $3,715.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.14 / $1,902.11 / $2,464.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.28 / $2,534.59 / $6,097.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.51 / $1,987.36 / $3,094.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.97 / $2,317.21 / $4,801.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.33 / $1,849.86 / $2,796.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.94 / $974.43 / $1,670.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.25 / $1,230.58 / $4,008.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.63 / $1,228.92 / $2,162.94