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Missouri 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
$652.65 / $691.91 / $809.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.05 / $652.32 / $810.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.00 / $1,466.00 / $1,641.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.18 / $531.00 / $885.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.35 / $836.35 / $2,962.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.77 / $791.71 / $1,234.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.43 / $726.51 / $1,578.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.69 / $815.16 / $4,008.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.97 / $676.07 / $1,397.33