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Ohio 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
$18.42 / $54.00 / $563.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $72.03 / $136.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.07 / $20.14 / $37.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $70.55 / $92.30
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.22 / $23.27 / $25.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.38 / $36.04 / $87.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.05 / $21.70 / $36.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $62.44 / $98.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $85.05 / $136.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.10 / $25.06 / $36.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.80 / $21.80 / $21.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.36 / $85.20 / $128.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.30 / $25.96 / $36.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.69 / $67.77 / $98.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $79.12 / $148.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.56 / $23.40 / $40.42