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Ohio 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
$136.85 / $776.00 / $4,275.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.62 / $149.75 / $360.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.94 / $150.53 / $172.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.21 / $130.26 / $214.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.14 / $140.57 / $175.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.36 / $186.37 / $236.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.25 / $193.28 / $279.64
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.63 / $475.88 / $1,015.41
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.71 / $194.55 / $291.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.59 / $160.80 / $229.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.19 / $195.41 / $313.35