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Texas 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
$14.83 / $17.64 / $21.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.49 / $71.70 / $101.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.81 / $19.36 / $27.14
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.57 / $21.57 / $21.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $52.75 / $97.76
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.91 / $19.71 / $19.71
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
$58.71 / $87.46 / $133.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.92 / $24.99 / $38.15
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.88 / $490.88 / $569.17
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.01 / $122.01 / $153.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $98.99 / $122.74
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.51 / $28.21 / $34.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.88 / $64.66 / $100.31
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.80 / $21.80 / $21.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.81 / $90.54 / $143.84
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.98 / $25.70 / $38.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.37 / $72.98 / $112.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.79 / $21.35 / $33.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.32 / $63.01 / $89.71
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.74 / $18.07 / $25.07