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California rates for HCPCS 95873

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

Facilitymedian $30 · 10th–90th $18–$1230%20%10th90th$30Professionalmedian $58 · 10th–90th $19–$1580%5%10th90th$58$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.20 / $29.51 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $23.44 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $60.26 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $25.70 / $56.23
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $66.07 / $173.78
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $21.38 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $89.13 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $25.70 / $52.48
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $102.33 / $128.82
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $23.99 / $30.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $104.71 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $29.51 / $58.88
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $575.44 / $575.44
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $154.88 / $154.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $69.18 / $95.50
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $91.20 / $190.55
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $25.12 / $50.12
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $41.69 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $67.61 / $177.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $20.89 / $46.77