go back

Utah rates for HCPCS 95873

Electrical Stimulation Guid W/Chemodenervation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.90 / $22.90 / $22.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.12 / $74.02 / $416.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.64 / $22.90 / $106.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.41 / $98.28 / $166.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.55 / $28.42 / $45.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $44.20 / $67.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $104.16 / $130.26
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.81 / $26.33 / $37.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.19 / $75.95 / $119.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.07 / $20.52 / $31.35