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Vermont rates for HCPCS 95873

Electrical Stimulation Guid W/Chemodenervation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $64.81 / $89.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.90 / $21.90 / $23.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.76 / $96.94 / $175.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.59 / $26.44 / $45.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $98.97 / $175.38
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.71 / $27.77 / $45.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.90 / $101.23 / $320.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.76 / $28.67 / $83.35