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Maine rates for HCPCS 95873

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

Professionalmedian $60 · 10th–90th $19–$1350%5%10th90th$60$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
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $79.43 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $20.89 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $95.50 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $26.92 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $95.50 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $26.92 / $42.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $112.20 / $213.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $29.51 / $52.48
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $79.43 / $151.36
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $20.89 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $97.72 / $165.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $26.30 / $43.65