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New Hampshire rates for HCPCS 95874

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

Facilitymedian $36 · 10th–90th $17$590%20%10th90th$36Professionalmedian $58 · 10th–90th $20$1550%5%10th90th$58$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
$19.50 / $36.31 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $83.18 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $26.92 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $134.90 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $34.67 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $107.15 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $27.54 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $131.83 / $190.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $32.36 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $125.89 / $234.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $31.62 / $54.95
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.49 / $14.45 / $22.91