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Iowa rates for HCPCS 95962

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; each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure)

Facilitymedian $234 · 10th–90th $234–$2340%50%$234Professionalmedian $339 · 10th–90th $170–$6460%10%10th90th$339$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $251.19 / $645.65
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$338.84 / $416.87 / $446.68