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Missouri 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
$18.98 / $20.02 / $45.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.51 / $83.16 / $232.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.98 / $20.14 / $50.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.15 / $102.15 / $102.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $64.34 / $108.43
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.53 / $24.00 / $34.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.92 / $90.69 / $146.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.00 / $26.39 / $41.59
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.21 / $97.64 / $516.91
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.11 / $27.62 / $122.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.30 / $87.10 / $159.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.18 / $24.26 / $43.60