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Connecticut 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
$162.13 / $273.98 / $637.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.04 / $111.58 / $162.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $137.04 / $206.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.04 / $440.93 / $623.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.00 / $177.87 / $323.50
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.11 / $143.19 / $216.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.93 / $172.88 / $327.84