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Idaho 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
$66.12 / $101.95 / $122.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.13 / $25.71 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.81 / $114.23 / $138.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.01 / $30.68 / $36.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.88 / $118.78 / $131.97
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.43 / $32.27 / $36.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $34.52 / $106.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.22 / $104.97 / $124.24
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.11 / $28.36 / $34.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $104.15 / $145.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.88 / $28.71 / $38.76