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Utah rates for HCPCS 95863

Needle electromyography; 3 extremities with or without related paraspinal areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $213.80 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $281.84 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $331.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $269.15 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $467.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $338.84 / $398.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $331.13