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Hawaii 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
$74.02 / $74.02 / $122.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.75 / $24.01 / $28.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.33 / $92.31 / $110.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.59 / $24.01 / $28.82
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.92 / $69.89 / $97.59
HMSA
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $25.71 / $26.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $88.62 / $103.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.13 / $23.05 / $26.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $92.01 / $131.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.59 / $24.01 / $32.27
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $85.20 / $109.02
University Health Alliance
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.48 / $23.58 / $25.64