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Oklahoma 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
$17.66 / $18.11 / $18.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.87 / $67.87 / $81.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.10 / $18.48 / $21.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $28.66 / $100.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $77.81 / $107.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.14 / $26.65 / $32.20
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $44.37 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.87 / $71.19 / $490.88
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.68 / $22.01 / $122.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.70 / $70.48 / $115.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.46 / $20.57 / $32.53