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Vermont 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
Professional
Modifier
Low / Median / High Price
$63.10 / $79.43 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $21.88 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $91.20 / $147.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $25.70 / $37.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $104.71 / $120.23
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $28.84 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $104.71 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $28.84 / $46.77