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Maryland rates for HCPCS 95873

Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)

Professionalmedian $49 · 10th–90th $18–$1100%5%10%10th90th$49$20.0$50.0$100.0$200.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $77.62 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $20.89 / $48.98
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $69.18 / $97.72
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $19.50 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $87.10 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $24.55 / $48.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $93.33 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $23.44 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $74.13 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $21.88 / $38.90
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $95.50 / $117.49
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $25.12 / $30.20