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Indiana 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
Facility
Modifier
26
Low / Median / High Price
$18.38 / $18.38 / $19.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $67.15 / $74.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.86 / $18.66 / $19.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.14 / $28.40 / $59.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.83 / $20.84 / $28.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $48.22 / $77.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.79 / $68.14 / $126.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.57 / $23.62 / $40.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.22 / $72.02 / $127.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.80 / $21.24 / $34.33