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South Dakota rates for HCPCS 95873

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

Facilitymedian $21 · 10th–90th $20$210%50%100%10th$21Professionalmedian $68 · 10th–90th $21$1480%5%10%10th90th$68$20.0$50.0$100.0$200.0$500.0

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
$19.95 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $81.28 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $20.89 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $147.91 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $39.81 / $50.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $138.04 / $489.78
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $36.31 / $123.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $144.54 / $154.88
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $39.81 / $45.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $165.96
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $40.74 / $45.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $123.03 / $151.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $33.88 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $138.04 / $194.98
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $36.31 / $57.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $165.96 / $165.96
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $46.77 / $46.77