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Louisiana 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
$23.00 / $23.00 / $27.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.31 / $87.53 / $123.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.64 / $24.59 / $33.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.70 / $79.86 / $110.18
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.84 / $22.78 / $30.90
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.71 / $19.71 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.65 / $74.48 / $116.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.70 / $20.85 / $32.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.26 / $70.59 / $119.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.46 / $20.57 / $33.88