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Alaska rates for HCPCS 95873

Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)

Facilitymedian $55 · 10th–90th $55–$550%50%100%$55Professionalmedian $69 · 10th–90th $20–$1740%5%10%10th90th$69$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $22.91 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $154.88 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $46.77 / $69.18
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $190.55 / $323.59
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $60.26 / $100.00
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $281.84 / $398.11
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $77.62 / $107.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $147.91 / $229.09
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $46.77 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $186.21 / $281.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $56.23 / $97.72