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South Dakota 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 $170 · 10th–90th $170–$1700%50%100%$170Professionalmedian $263 · 10th–90th $186–$3550%10%20%10th90th$263$200.0

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
$162.18 / $169.82 / $169.82
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$316.23 / $323.59 / $389.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $257.04 / $323.59