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Delaware 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
Professional
Modifier
Low / Median / High Price
$91.43 / $111.61 / $140.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.67 / $126.30 / $195.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.12 / $114.58 / $260.13