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Tennessee 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
$18.62 / $19.19 / $49.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $77.64 / $132.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.05 / $20.14 / $31.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.06 / $22.06 / $22.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.28 / $96.76 / $143.78
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.34 / $26.21 / $37.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.37 / $89.92 / $129.46
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.07 / $25.67 / $35.10
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.37 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.91 / $516.91 / $614.40
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.01 / $122.01 / $153.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.30 / $78.56 / $150.53
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.18 / $21.28 / $39.69