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Massachusetts rates for HCPCS 64611

Chemodenervation of parotid and submandibular salivary glands, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $371.54
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$43.65 / $190.55 / $309.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $602.56 / $2,818.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$549.54 / $549.54 / $549.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $169.82 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $309.03 / $363.08
BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$100.00 / $154.88 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $190.55 / $323.59
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $218.78 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $245.47
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $371.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $3,630.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $602.56 / $2,818.38
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$549.54 / $549.54 / $549.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $169.82 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $371.54