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Washington rates for HCPCS 95873

Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)

Facilitymedian $34 · 10th–90th $22$480%10%10th90th$34Professionalmedian $54 · 10th–90th $20$1510%5%10th90th$54$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
$25.12 / $40.74 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $23.99 / $61.66
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $134.90 / $190.55
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $36.31 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $120.23 / $218.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $32.36 / $57.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $29.51 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $123.03 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $30.90 / $47.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.88 / $75.86
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $26.30
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $134.90 / $199.53
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $37.15 / $50.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $134.90 / $181.97
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $35.48 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $104.71 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $28.84 / $50.12
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $173.78
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $23.44 / $42.66