go back

Oklahoma 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
$17.98 / $18.11 / $18.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.32 / $71.38 / $90.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.10 / $18.48 / $24.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.07 / $76.30 / $104.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $78.29 / $103.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $26.22 / $32.20
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $44.37 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $75.08 / $516.91
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.17 / $21.62 / $122.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.48 / $68.55 / $121.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.17 / $20.21 / $32.53