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Alabama rates for HCPCS 96004

Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and dynamic fine wire electromyography, with written report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.08 / $135.08 / $135.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.92 / $108.70 / $142.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.36 / $132.00 / $155.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.09 / $112.54 / $328.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $111.34 / $153.65