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Idaho 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
$32.29 / $32.29 / $32.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $107.23 / $176.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.07 / $25.23 / $32.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.69 / $117.47 / $144.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.64 / $30.19 / $35.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.41 / $128.09 / $142.32
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.43 / $32.27 / $36.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $34.52 / $101.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.42 / $113.43 / $133.32
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.11 / $28.36 / $34.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $102.30 / $149.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.87 / $28.00 / $38.08