go back

Connecticut 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
Facility
Modifier
26
Low / Median / High Price
$26.92 / $95.50 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $93.33 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $24.55 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $123.03 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $34.67 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $102.33 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $29.51 / $56.23
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $85.11 / $162.18
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $26.30 / $38.02
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $97.72 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $25.70 / $47.86