go back

Arizona rates for HCPCS 95874

Needle electromyography 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
$56.50 / $73.54 / $276.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.51 / $19.91 / $44.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.64 / $97.50 / $97.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.67 / $67.05 / $83.81
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.22 / $17.39 / $21.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.71 / $81.88 / $141.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.13 / $24.01 / $37.43
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $44.37 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $73.08 / $516.91
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.18 / $21.50 / $122.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $72.45 / $147.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.00 / $20.16 / $37.06