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Idaho 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
$95.20 / $564.03 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.76 / $185.87 / $430.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.32 / $82.32 / $82.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.57 / $198.00 / $251.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.00 / $215.14 / $398.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.02 / $245.50 / $297.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $203.83 / $230.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.67 / $724.18 / $906.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.62 / $262.87 / $319.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.32 / $219.96 / $302.41