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South Dakota rates for HCPCS 95874

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

Facilitymedian $21 · 10th–90th $21–$210%50%100%$21Professionalmedian $48 · 10th–90th $19–$1620%5%10th90th$48$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $93.33 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $25.12 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $158.49 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $39.81 / $50.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $138.04 / $512.86
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $35.48 / $123.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $147.91 / $151.36
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $39.81 / $44.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $165.96
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $40.74 / $44.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $120.23 / $162.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $32.36 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $138.04 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $36.31 / $56.23
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $177.83 / $177.83
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $46.77 / $46.77