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West Virginia 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
$108.84 / $108.84 / $108.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.36 / $103.73 / $115.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.50 / $122.50 / $122.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.63 / $130.49 / $434.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.71 / $132.84 / $190.59