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Massachusetts rates for HCPCS 95873

Electrical Stimulation Guid W/Chemodenervation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.79 / $19.79 / $19.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.63 / $75.89 / $166.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.19 / $23.00 / $60.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.45 / $45.26 / $63.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.67 / $123.09 / $490.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $33.19 / $122.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.58 / $121.58 / $187.69
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.26 / $37.83 / $56.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.59 / $119.79 / $235.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.89 / $31.64 / $55.76
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $42.77 / $100.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.56 / $157.09 / $208.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.35 / $44.18 / $58.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.56 / $113.37 / $154.69
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $44.37 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.08 / $128.91 / $490.88
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.06 / $35.75 / $122.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.82 / $107.84 / $215.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.57 / $32.22 / $75.08