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Virginia 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 $148 · 10th–90th $148–$1740%50%90th$148Professionalmedian $219 · 10th–90th $158–$2750%10%20%10th90th$219$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $173.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $186.21 / $245.47
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $257.04 / $275.42