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Wisconsin rates for HCPCS 95873

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

Facilitymedian $24 · 10th–90th $21$780%20%40%10th90th$24Professionalmedian $72 · 10th–90th $19$2040%10%10th90th$72$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$20.89 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $77.62 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $20.89 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $117.49 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $32.36 / $72.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $58.88 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $181.97 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $50.12 / $64.57
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $151.36 / $190.55
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $44.67 / $53.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $109.65 / $489.78
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $32.36 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $125.89 / $186.21
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $40.74 / $51.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $177.83 / $251.19
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $123.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $371.54 / $489.78
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $100.00 / $123.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $363.08 / $467.74
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $50.12 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $100.00 / $245.47
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $29.51 / $66.07