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Michigan rates for HCPCS 95873

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

Facilitymedian $22 · 10th–90th $22–$220%50%90th$22Professionalmedian $62 · 10th–90th $18–$1050%10%10th90th$62$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
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $21.88 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $77.62 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $20.89 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $102.33 / $104.71
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $77.62 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $21.88 / $32.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.42 / $47.86 / $56.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $147.91
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $23.44 / $45.71
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $91.20 / $138.04
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $23.99 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $74.13 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $22.39 / $28.84