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Minnesota 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

Facilitymedian $316 · 10th–90th $115–$8710%10%10th90th$316Professionalmedian $214 · 10th–90th $107–$3800%10%10th90th$214$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $114.82 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $346.74 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $263.03 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $281.84 / $446.68
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $371.54 / $724.44
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $263.03 / $398.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $169.82 / $281.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $223.87 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $213.80 / $380.19