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Utah rates for HCPCS 95874

Needle Emg Guid W/Chemodenervation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.14 / $22.14 / $22.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $82.89 / $328.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.64 / $22.09 / $75.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.25 / $97.70 / $156.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.57 / $27.50 / $48.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.97 / $57.96 / $75.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.21 / $100.30 / $125.42
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.81 / $26.33 / $36.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.42 / $76.45 / $122.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $21.28 / $33.24