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Maine rates for HCPCS 95874

Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)

Professionalmedian $58 · 10th–90th $19–$1320%5%10th90th$58$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $23.44 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $26.92 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $100.00 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $26.92 / $42.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $120.23 / $223.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $29.51 / $54.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $91.20 / $162.18
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $22.91 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $100.00 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $26.30 / $43.65