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North Carolina 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
$19.19 / $19.19 / $19.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $73.78 / $124.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.04 / $19.19 / $51.94
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.87 / $34.76 / $58.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.81 / $86.92 / $181.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.82 / $28.12 / $50.56
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.77 / $20.77 / $42.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $65.00 / $90.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.77 / $20.77 / $20.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.39 / $78.81 / $120.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $73.70 / $178.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.13 / $22.00 / $48.33
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $80.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.88 / $490.88 / $569.17
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.01 / $122.01 / $153.38