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Washington 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
$25.23 / $40.31 / $55.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $109.98 / $263.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.07 / $25.23 / $52.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.47 / $156.47 / $221.64
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.43 / $33.43 / $37.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.82 / $80.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.42 / $168.69 / $655.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.33 / $42.62 / $157.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.88 / $131.56 / $248.46
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $34.96 / $58.19
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.60 / $34.79 / $47.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.92 / $120.42 / $197.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.51 / $34.79 / $48.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.24 / $100.92 / $181.74
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.93 / $37.52 / $38.19
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $32.46 / $38.19
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.82 / $25.82 / $26.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.89 / $172.86 / $211.94
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.47 / $41.44 / $51.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.42 / $149.35 / $201.89
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.33 / $37.07 / $50.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $120.60 / $220.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.94 / $31.36 / $55.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.73 / $60.73 / $84.58
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.74 / $15.74 / $20.26