go back

Nebraska 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
$134.52 / $2,834.13 / $12,036.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.20 / $231.87 / $612.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.06 / $180.81 / $314.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.55 / $947.72 / $1,833.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.02 / $197.62 / $275.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.86 / $102.86 / $102.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.00 / $315.43 / $410.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.07 / $210.24 / $437.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.94 / $281.26 / $873.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.70 / $271.32 / $408.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.05 / $323.32 / $408.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.50 / $289.33 / $376.80