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Maryland 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
$77.38 / $496.52 / $1,272.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.76 / $159.21 / $612.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.99 / $154.71 / $196.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $64.73 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $190.31 / $321.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.56 / $208.52 / $307.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.73 / $178.25 / $334.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.80 / $185.89 / $225.09