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North Carolina 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 $158 · 10th–90th $158–$1,0000%50%90th$158Professionalmedian $219 · 10th–90th $155–$2750%20%40%10th90th$219$200.0$500.0$1.0K

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
$158.49 / $158.49 / $158.49
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $218.78 / $275.42
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00