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Virginia 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
$18.04 / $21.43 / $48.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $74.02 / $95.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.11 / $20.47 / $24.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.43 / $82.92 / $137.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.51 / $22.40 / $37.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $76.06 / $143.77
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.57 / $19.57 / $37.01
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
$41.36 / $84.52 / $156.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.45 / $25.40 / $38.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $84.73 / $100.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.28 / $23.40 / $27.05
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.77 / $34.67 / $51.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $67.00 / $113.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.48 / $65.54 / $140.88
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.25 / $25.99 / $43.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $70.01 / $144.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.22 / $22.85 / $35.45