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Utah 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
$519.16 / $519.16 / $519.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.16 / $626.01 / $795.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.05 / $773.98 / $1,485.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.28 / $440.55 / $679.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.98 / $1,982.40 / $2,888.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.99 / $892.93 / $1,334.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.60 / $664.40 / $978.69