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Missouri 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
$18.98 / $20.02 / $45.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $74.20 / $159.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.66 / $20.02 / $52.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $66.00 / $106.99
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.50 / $24.00 / $35.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.35 / $89.35 / $142.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.09 / $26.59 / $41.99
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.68 / $94.58 / $490.88
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.51 / $27.58 / $122.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.88 / $87.60 / $154.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.44 / $25.35 / $43.49