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North Carolina rates for HCPCS 95874

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

Facilitymedian $19 · 10th–90th $19–$1230%50%90th$19Professionalmedian $60 · 10th–90th $19–$1700%5%10%10th90th$60$10.0$20.0$50.0$100.0$200.0$500.0

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
Facility
Modifier
26
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $91.20 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $23.99 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $93.33 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $33.88 / $34.67
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $42.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $87.10 / $169.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $26.92 / $46.77
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $158.49
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $30.90 / $36.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $112.20 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $134.90
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $21.38 / $38.02
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $616.60
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $154.88