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New Hampshire rates for HCPCS 95873

Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)

Facilitymedian $62 · 10th–90th $14–$620%50%10th$62Professionalmedian $60 · 10th–90th $21–$1550%5%10%10th90th$60$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $79.43 / $128.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $22.39 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $125.89 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $34.67 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $100.00 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $27.54 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $125.89 / $181.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $33.11 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $120.23 / $229.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $32.36 / $56.23
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $14.45 / $22.91