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Ohio 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
$650.82 / $862.44 / $1,656.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.92 / $628.79 / $795.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.60 / $382.01 / $831.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.95 / $520.19 / $864.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.49 / $476.84 / $800.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.58 / $791.58 / $791.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.58 / $782.22 / $1,432.78
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.58 / $791.58 / $791.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.58 / $768.36 / $1,104.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.08 / $506.65 / $857.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.05 / $684.39 / $1,186.63