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Nebraska 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
$626.01 / $626.01 / $626.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.75 / $626.01 / $809.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.61 / $808.24 / $1,266.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.45 / $1,061.93 / $1,430.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.13 / $1,366.40 / $1,630.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.30 / $939.02 / $1,430.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.72 / $1,091.52 / $4,008.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.63 / $1,303.04 / $1,630.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.05 / $1,125.84 / $1,597.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.28 / $745.79 / $1,450.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.63 / $1,137.35 / $1,513.35