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Nebraska 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
$18.51 / $18.51 / $18.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.39 / $67.39 / $166.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.51 / $18.51 / $106.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.38 / $149.38 / $149.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $107.04 / $146.56
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.71 / $29.89 / $40.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $144.47 / $180.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.56 / $39.08 / $48.85
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
$74.00 / $144.34 / $198.45
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.50 / $39.38 / $57.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.65 / $143.60 / $187.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.30 / $140.74 / $177.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.50 / $42.71 / $48.30