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Utah rates for HCPCS 95872

Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$165.96 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $204.17 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $263.03 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $316.23
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$251.19 / $251.19 / $251.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $389.05
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $213.80 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $323.59