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Pennsylvania 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.49 / $170.45 / $170.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.80 / $181.80 / $181.80
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$170.45 / $170.45 / $170.45
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$181.80 / $181.80 / $182.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.08 / $155.08 / $164.24