go back

Tennessee rates for HCPCS 64612

Chemodnrvtj Musc Musc Innervated Facial Nrv Unil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.25 / $1,791.00 / $6,681.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$355.47 / $355.47 / $1,284.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.61 / $142.28 / $239.98
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$163.11 / $444.22 / $860.71
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$295.81 / $328.91 / $328.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,483.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.91 / $169.86 / $267.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.44 / $173.80 / $274.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $605.05 / $605.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.00 / $1,528.92 / $1,721.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $165.43 / $290.89