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Illinois rates for HCPCS 95873

Electrical Stimulation Guid W/Chemodenervation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.55 / $31.06 / $31.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.49 / $73.76 / $122.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.51 / $19.55 / $31.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $63.76 / $108.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.36 / $87.93 / $126.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.03 / $25.69 / $38.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.98 / $98.21 / $260.13
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.68 / $27.48 / $69.80
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.79 / $82.50 / $87.92
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.98 / $23.35 / $24.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $32.34 / $91.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.84 / $81.13 / $150.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.48 / $23.95 / $43.64