go back

Georgia 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
$100.00 / $138.04 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $112.20 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $144.54 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $426.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $190.55 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $263.03