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South Carolina rates for HCPCS 95873

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

Facilitymedian $19 · 10th–90th $19–$190%50%100%$19Professionalmedian $40 · 10th–90th $18–$930%10%10th90th$40$20.0$50.0$100.0$200.0

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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $74.13 / $114.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $19.95 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $75.86 / $89.13
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $20.89 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $77.62 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $23.44 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $66.07 / $109.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $19.95 / $30.20