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New Mexico rates for HCPCS 95873

Electrical Stimulation Guid W/Chemodenervation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.81 / $24.82 / $24.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.88 / $74.02 / $122.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.81 / $22.73 / $30.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.87 / $27.98 / $63.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.59 / $86.43 / $129.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.38 / $28.08 / $36.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.22 / $32.34 / $95.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.76 / $93.85 / $174.79
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.36 / $27.67 / $34.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.01 / $97.99 / $152.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.56 / $29.07 / $46.17