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Vermont rates for HCPCS 95958

Wada Activation Test Hemispheric Function W/Eeg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.97 / $503.97 / $503.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.04 / $503.97 / $561.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.60 / $767.95 / $2,466.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.42 / $758.46 / $2,466.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.42 / $791.30 / $1,320.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.98 / $565.36 / $1,554.11