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Massachusetts 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
$19.05 / $19.05 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $79.43 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $23.99 / $63.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.38 / $46.77 / $123.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $104.71 / $489.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $29.51 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $190.55
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $38.02 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $112.20 / $229.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $29.51 / $56.23
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $47.86 / $112.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $138.04 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $36.31 / $52.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $154.88 / $154.88
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.38 / $46.77 / $123.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $104.71 / $489.78
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $29.51 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $104.71 / $213.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $29.51 / $54.95