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Montana 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
$576.62 / $691.59 / $836.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.01 / $1,104.71 / $1,313.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.45 / $953.90 / $3,094.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.60 / $672.89 / $1,104.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.65 / $994.24 / $1,586.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.11 / $923.44 / $1,190.24