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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$67.39 / $76.88 / $104.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.10 / $22.52 / $27.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.89 / $75.16 / $105.93
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.57 / $20.82 / $20.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $81.62 / $157.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.89 / $24.26 / $40.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $85.89 / $130.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.04 / $22.41 / $33.95