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Texas rates for HCPCS 95864

Ndl Emg 4 Xtr W/Wo Related Paraspinal Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.06 / $95.83 / $117.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.36 / $232.71 / $329.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.72 / $309.72 / $309.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.57 / $178.92 / $316.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.58 / $274.00 / $453.60
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$238.79 / $512.38 / $512.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.23 / $1,539.23 / $1,840.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.48 / $328.61 / $499.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.87 / $183.82 / $383.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.35 / $298.83 / $558.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.40 / $250.05 / $395.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.31 / $214.91 / $291.82