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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)

Facilitymedian $19 · 10th–90th $14$1230%20%10th90th$19Professionalmedian $52 · 10th–90th $18$1050%5%10%10th90th$52$5.0$10.0$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
$14.13 / $16.98 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $72.44 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $20.42 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $53.70 / $95.50
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.78 / $19.50 / $19.50
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$4.68 / $21.38 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $87.10 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $25.70 / $39.81
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $575.44 / $575.44
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $154.88 / $154.88
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $21.88 / $29.51
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $25.70 / $44.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $33.11 / $54.95
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.01 / $23.44 / $33.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $87.10 / $144.54
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $25.12 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $20.89 / $32.36
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $75.86 / $75.86
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $19.95 / $20.42