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Michigan 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
$197.78 / $438.03 / $2,878.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.95 / $165.81 / $343.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.26 / $134.26 / $211.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.68 / $460.89 / $624.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.41 / $184.75 / $221.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.14 / $151.63 / $181.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.59 / $190.09 / $301.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $169.59 / $286.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.66 / $460.89 / $2,056.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.97 / $182.18 / $300.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.20 / $156.41 / $232.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.09 / $186.37 / $237.90