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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)

Facilitymedian $19 · 10th–90th $19–$190%50%$19Professionalmedian $46 · 10th–90th $18–$930%10%10th90th$46$20.0$50.0$100.0$200.0

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
$19.50 / $19.50 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $72.44 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $19.05 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $20.89 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $69.18 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $22.91 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $69.18 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $21.38 / $33.11