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Minnesota rates for HCPCS 95873

Electrical Stimulation Guid W/Chemodenervation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.13 / $21.13 / $35.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.12 / $81.15 / $122.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.79 / $21.13 / $30.06
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.12 / $16.12 / $16.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.84 / $188.15 / $247.52
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.57 / $50.76 / $66.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.14 / $66.89 / $160.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.50 / $201.58 / $297.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.03 / $54.53 / $80.56
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.86 / $61.15 / $126.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $182.16 / $269.10
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.72 / $49.28 / $72.80
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $44.37 / $44.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.66 / $142.54 / $290.66
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.19 / $38.10 / $76.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.66 / $142.02 / $276.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.01 / $40.32 / $74.73