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New York 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
$18.64 / $24.46 / $34.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $77.95 / $199.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.26 / $20.50 / $46.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.70 / $72.90 / $157.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $19.92 / $42.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.95 / $88.81 / $116.75
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.80 / $21.80 / $21.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.38 / $99.98 / $232.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.61 / $27.11 / $60.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.01 / $110.59 / $162.13
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.47 / $27.77 / $40.03
Excellus BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.04 / $18.04 / $18.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.69 / $77.94 / $160.04
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.02 / $20.65 / $40.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.26 / $183.26 / $183.26
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.80 / $21.80 / $21.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $102.62 / $214.78
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.10 / $26.70 / $56.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.10 / $86.08 / $186.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.35 / $22.35 / $48.26
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.56 / $22.56 / $72.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.06 / $88.23 / $192.88
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.04 / $23.04 / $49.33