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California rates for HCPCS 64611

Chemodenervation of parotid and submandibular salivary glands, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $562.34
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$43.65 / $190.55 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $169.82 / $338.84
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $389.05 / $1,778.28
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $144.54 / $288.40
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $134.90 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $154.88 / $269.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $691.83
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$549.54 / $549.54 / $549.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,148.15 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $190.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $158.49 / $245.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $302.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $389.05
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $117.49 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $239.88