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Wisconsin 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
$112.41 / $112.41 / $386.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.82 / $252.43 / $385.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.07 / $333.57 / $982.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$275.74 / $322.23 / $494.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.38 / $584.46 / $739.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.22 / $585.98 / $1,539.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.01 / $185.60 / $433.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.56 / $531.33 / $730.40
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$466.27 / $466.27 / $466.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.38 / $1,217.70 / $1,539.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.81 / $972.56 / $1,190.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.75 / $488.47 / $913.28