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Kentucky 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
$116.76 / $321.24 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.62 / $138.91 / $262.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.80 / $138.59 / $153.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.21 / $118.60 / $159.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.34 / $153.01 / $187.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.59 / $170.12 / $221.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.55 / $208.55 / $208.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.33 / $197.24 / $279.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $79.42 / $152.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.38 / $203.93 / $272.52