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Mississippi 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
$126.05 / $126.05 / $212.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.93 / $126.05 / $212.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.50 / $137.59 / $137.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.68 / $140.38 / $210.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.86 / $125.12 / $196.89