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Utah rates for HCPCS 95874

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

Facilitymedian $22 · 10th–90th $22$220%50%100%$22Professionalmedian $79 · 10th–90th $20$2750%5%10th90th$79$5.0$10.0$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
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $151.36 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $25.12 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $26.92 / $41.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $109.65 / $165.96
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $28.18 / $53.70
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $117.49 / $177.83
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $34.67 / $47.86
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $72.44 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $72.44 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $20.89 / $32.36