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Arizona rates for HCPCS 95873

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.39 / $76.45 / $175.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.51 / $20.89 / $48.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.40 / $62.18 / $77.72
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.22 / $17.39 / $21.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.56 / $76.63 / $138.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.23 / $24.30 / $37.53
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $44.37 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.40 / $71.81 / $490.88
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.50 / $22.00 / $122.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $71.61 / $137.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.00 / $20.52 / $37.72