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South Carolina 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
$671.78 / $671.78 / $671.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.92 / $608.01 / $750.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.02 / $622.53 / $946.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.00 / $580.86 / $880.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.74 / $916.74 / $916.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.00 / $629.91 / $1,142.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $608.01 / $1,094.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.22 / $535.78 / $934.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.23 / $560.91 / $965.23