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Maine rates for HCPCS 95864

Needle electromyography; 4 extremities with or without related paraspinal areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.93 / $111.94 / $111.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.81 / $260.50 / $367.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.69 / $296.92 / $412.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.08 / $307.61 / $542.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.73 / $273.70 / $485.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.81 / $261.92 / $367.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.48 / $341.27 / $552.64