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North Dakota rates for HCPCS 95873

Electrical Stimulation Guid W/Chemodenervation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.39 / $20.39 / $20.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.39 / $78.13 / $81.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.79 / $20.39 / $23.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $165.53 / $174.91
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.47 / $46.25 / $48.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.44 / $174.69 / $232.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.65 / $47.26 / $62.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.31 / $133.43 / $187.21
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.57 / $36.52 / $48.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.31 / $133.43 / $172.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.57 / $36.40 / $45.25