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Florida 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
$90.88 / $91.43 / $100.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.30 / $108.70 / $138.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.85 / $122.50 / $122.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.65 / $147.74 / $263.36
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.73 / $82.61 / $117.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.07 / $106.67 / $171.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.70 / $123.60 / $230.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.51 / $87.51 / $103.27