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Kansas 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
$128.36 / $128.36 / $245.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.93 / $112.71 / $245.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.15 / $149.15 / $149.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.74 / $166.87 / $347.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.56 / $150.97 / $320.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.44 / $152.38 / $686.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.93 / $144.31 / $245.18