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Wisconsin rates for HCPCS 95874

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

Facilitymedian $24 · 10th–90th $21–$780%20%40%10th90th$24Professionalmedian $78 · 10th–90th $20–$2630%5%10th90th$78$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$20.89 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $107.15 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $25.70 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $125.89 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $32.36 / $72.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$50.12 / $58.88 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $199.53 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $50.12 / $63.10
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $162.18 / $208.93
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $44.67 / $53.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $109.65 / $512.86
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $31.62 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $125.89 / $186.21
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $38.90 / $51.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $190.55 / $263.03
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$44.67 / $44.67 / $123.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $380.19 / $512.86
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $97.72 / $123.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $389.05 / $489.78
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $50.12 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $102.33 / $251.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $28.84 / $64.57