go back

South Dakota 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
$113.00 / $113.00 / $113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.81 / $235.61 / $367.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.40 / $468.31 / $583.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.82 / $477.92 / $1,539.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.97 / $471.47 / $555.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.72 / $365.13 / $429.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.54 / $169.37 / $199.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.82 / $451.37 / $531.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.10 / $542.10 / $542.10