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Montana 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
$56.50 / $60.32 / $328.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.07 / $18.12 / $30.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.97 / $29.97 / $119.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.97 / $29.97 / $35.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $107.89 / $124.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.60 / $26.97 / $33.40
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.97 / $29.97 / $35.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.22 / $115.99 / $166.55
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.60 / $26.97 / $33.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $122.65 / $141.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.03 / $31.92 / $35.84