go back

Arkansas 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
$138.03 / $145.00 / $167.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.70 / $115.09 / $145.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.22 / $164.40 / $164.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.38 / $165.90 / $218.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.56 / $128.62 / $213.80