go back

Utah 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
$118.29 / $118.29 / $118.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.10 / $221.26 / $269.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.94 / $319.05 / $578.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.64 / $120.71 / $226.42
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$253.98 / $253.98 / $253.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.45 / $363.03 / $477.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.80 / $267.91 / $377.22