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Alaska rates for HCPCS 64615

Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.23 / $4,473.04 / $10,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.65 / $324.89 / $770.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.45 / $397.94 / $654.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.36 / $595.16 / $980.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.02 / $446.37 / $897.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.50 / $626.40 / $842.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.36 / $595.16 / $980.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $637.00 / $856.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.48 / $760.96 / $951.20