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New York 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
$162.53 / $2,056.00 / $7,307.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.51 / $174.42 / $602.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.84 / $152.84 / $152.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.22 / $186.35 / $342.47
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.01 / $171.01 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.01 / $171.01 / $213.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.55 / $208.55 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.94 / $226.29 / $601.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.46 / $195.55 / $338.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.84 / $234.93 / $356.97
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.84 / $139.84 / $139.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.39 / $176.23 / $320.10
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.21 / $170.21 / $170.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $455.71 / $3,461.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.55 / $555.00 / $36,596.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.42 / $222.64 / $581.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.60 / $211.13 / $479.70
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.18 / $140.18 / $371.82
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.38 / $191.74 / $320.10