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New Jersey 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
$21.56 / $21.56 / $34.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.11 / $66.67 / $89.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.11 / $20.47 / $28.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.15 / $97.72 / $174.46
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.29 / $27.46 / $46.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $104.12 / $105.34
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.70 / $27.77 / $28.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.12 / $73.62 / $121.48
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.84 / $18.64 / $61.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $78.50 / $151.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.62 / $20.68 / $42.42