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Minnesota 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
$21.13 / $21.13 / $35.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $87.22 / $302.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.07 / $21.13 / $27.68
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.12 / $16.12 / $16.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.15 / $203.72 / $267.47
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.57 / $50.76 / $66.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.14 / $66.89 / $160.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.51 / $217.17 / $320.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.03 / $54.53 / $80.56
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.86 / $61.15 / $126.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.31 / $196.24 / $289.89
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.72 / $49.28 / $72.80
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $44.37 / $44.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.89 / $148.88 / $298.70
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.82 / $38.17 / $75.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.89 / $143.47 / $284.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.62 / $40.04 / $73.42