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Wisconsin 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 $468 · 10th–90th $170–$7760%20%10th90th$468Professionalmedian $195 · 10th–90th $195–$1950%50%100%$195$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
$169.82 / $169.82 / $575.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$416.87 / $478.63 / $776.25
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$363.08 / $1,000.00 / $1,000.00
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98