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South Carolina rates for HCPCS 95873

Electrical Stimulation Guid W/Chemodenervation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $72.64 / $81.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.11 / $19.19 / $26.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.97 / $56.97 / $67.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.26 / $64.31 / $85.99
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.84 / $18.73 / $24.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.80 / $21.80 / $21.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $78.16 / $135.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.63 / $23.64 / $37.65
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.32 / $22.37 / $42.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $55.69 / $99.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.85 / $72.01 / $130.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.46 / $19.95 / $36.72