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Wyoming 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
Professional
Modifier
Low / Median / High Price
$97.72 / $114.82 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $371.54