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Iowa rates for HCPCS 95961

Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional

Facilitymedian $214 · 10th–90th $214–$2140%50%$214Professionalmedian $316 · 10th–90th $162–$6030%10%10th90th$316$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $234.42 / $602.56
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$316.23 / $389.05 / $416.87