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Pricing for EMG/NCV Testing

Below is a list of our offices usual and customary fees schedule. As a brief example we have listed the approximate fee schedule for auto insurance. There are too many to list for health insurances with contracted fee schedules for in-network and out of network benefits. We recommend patients call the office for a Good Faith Estimate.

Mac Locality 910299

HCPCS Code Modifier Short Description approx. Auto fees Office Fees: Usual and Customary
95907 Nvr cndj tst 1-2 studies $188.16 $267.14
95907
95908
26 Nvr cndj tst 1-2 studies
Nvr cndj tst 3-4 studies
$107.22
$237.40
$146.91
$341.16
95908
95909
26 Nvr cndj tst 3-4 studies
Nvr cndj tst 5-6 studies
$134.18
$283.02
$191.02
$429.56
95909
95910
26 Nvr cndj tst 5-6 studies
Nvr cndj tst 7-8 studies
$159.48
$373.04
$201.50
$596.74
95910
95911
26 Nvr cndj tst 7-8 studies
Nvr cndj tst 9-10 studies
$215.42
$447.60
$334.14
$709.17
95911
95912
26 Nvr cndj tst 9-10 studies
Nvr cndj tst 11-12 studies
$267.04
$519.26
$411.26
$833.15
95912
95913
26 Nvr cndj tst 11-12 studies
Nvr cndj tst 13/> studies
$320.02
$602.94
$499.81
$914.83
95913
95921
26 Nvr cndj tst 13/> studies
Autonomic nrv parasym inervj
$378.80
$176.60
$556.95
$282.19
95921
95922
26 Autonomic nrv parasym inervj
Autonomic nrv adrenrg inervj
$91.06
$209.30
$194.73
$301.00
95922
95923
26 Autonomic nrv adrenrg inervj
Autonomic nrv syst funj test
$95.90
$256.54
$198.69
$451.50
95923
95924
26 Autonomic nrv syst funj test
Ans parasymp & symp w/tilt
$91.06
$300.82
$189.66
$416.09
95924
95925
26 Ans parasymp & symp w/tilt
Somatosensory testing upper
$175.62
$307.12
$245.46
$793.90
95925
95926
26 Somatosensory testing upper
Somatosensory testing lower
$58.08
$282.84
$357.29
$651.26
95927 Somatosensory testing head/trunk $278.28 $676.51
95860 Muscle test one limb $234.52 $545.20
95860
95861
26 Muscle test one limb
Muscle test 2 limbs
$103.12
$339.24
$316.39
$677.26
95861
95863
26 Muscle test 2 limbs
Muscle test 3 limbs
$163.94
$440.92
$501.18
$865.39
95863
95864
26 Muscle test 3 limbs
Muscle test 4 limbs
$198.76
$493.92
$631.75
$1021.24
95864 26 Muscle test 4 limbs $214.42 $683.84


Add On Codes:

**may not be billed independent of an NCS code

HCPCS Code Short Description approx. Auto fees Office Fees: Usual and Customary
95885 Limited study: 4 muscles or less SAME DAY both test $129.62 $240.88
95886 Completed study: 5 or more muscles studied, innervated by three or more nerves or four or more spinal levels $219.00 $374.38
95870 4 muscles or less SEPARATE DAY both test $178.24 $263.38


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