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Pennsylvania rates for HCPCS 64611

Chemodenervation of parotid and submandibular salivary glands, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,570.40 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $346.74
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$43.65 / $61.66 / $309.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $141.25 / $229.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $229.09 / $288.40
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $234.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,318.26 / $1,862.09
Highmark BCBS
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$851.14 / $851.14 / $2,818.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,290.87 / $7,762.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $162.18 / $354.81
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$43.65 / $131.83 / $309.03
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $295.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $107.15 / $269.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $125.89 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $831.76 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $134.90 / $208.93