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Missouri 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
$153.65 / $1,139.00 / $5,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.77 / $170.95 / $525.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.92 / $162.13 / $245.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.61 / $139.19 / $238.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.02 / $190.92 / $298.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.87 / $196.78 / $561.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.91 / $253.20 / $1,104.40
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.02 / $241.02 / $241.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.01 / $213.91 / $333.70