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South Dakota rates for HCPCS 95886

Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levels (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.88 / $48.88 / $48.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $235.80 / $539.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $69.97 / $170.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.17 / $52.60 / $85.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.07 / $197.51 / $246.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.79 / $92.12 / $115.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.20 / $105.38 / $131.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.29 / $190.85 / $641.76
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.31 / $83.86 / $283.72
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.37 / $93.55 / $358.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.27 / $182.09 / $264.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.27 / $149.11 / $181.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.87 / $73.14 / $86.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.49 / $73.69 / $95.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.29 / $177.41 / $229.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.15 / $83.86 / $97.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.37 / $90.44 / $112.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.80 / $228.60 / $228.60
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.70 / $108.60 / $108.60
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.10 / $120.00 / $120.00