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West 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
$18.86 / $18.86 / $18.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $72.64 / $104.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.04 / $19.95 / $27.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $21.24 / $36.04
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
$40.02 / $68.64 / $218.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.62 / $24.37 / $65.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $55.34 / $96.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.76 / $22.98 / $31.52