go back

Rhode Island 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
$138.44 / $138.44 / $138.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.36 / $111.58 / $162.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.73 / $235.03 / $270.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.89 / $104.58 / $164.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.26 / $519.26 / $519.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.62 / $150.77 / $234.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.71 / $138.40 / $210.61