go back

Maryland 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
$57.71 / $78.17 / $338.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.44 / $19.87 / $52.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.89 / $83.22 / $88.21
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.84 / $20.94 / $26.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $89.46 / $201.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.63 / $25.35 / $48.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $98.16 / $161.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.26 / $24.85 / $39.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.31 / $75.06 / $153.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.67 / $21.28 / $37.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.94 / $87.50 / $108.36
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.92 / $22.15 / $28.01