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Indiana 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
$18.38 / $18.38 / $19.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $71.56 / $106.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.64 / $19.01 / $30.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.63 / $92.63 / $99.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.44 / $48.43 / $84.95
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.12 / $21.20 / $28.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $56.44 / $83.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.20 / $68.81 / $127.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.07 / $23.74 / $40.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.03 / $69.51 / $126.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.51 / $20.30 / $34.33