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Arizona 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
$936.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.87 / $145.38 / $612.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.87 / $144.10 / $201.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.31 / $211.92 / $335.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.22 / $139.63 / $158.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.43 / $176.92 / $274.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.43 / $162.46 / $1,203.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $181.89 / $873.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.13 / $156.51 / $302.41