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Oklahoma 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
$469.45 / $2,536.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.37 / $125.96 / $179.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.73 / $122.73 / $122.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.61 / $1,793.27 / $2,797.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.19 / $161.00 / $198.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.54 / $110.54 / $110.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.76 / $183.29 / $239.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.55 / $172.61 / $1,130.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.52 / $171.50 / $873.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.73 / $160.74 / $224.19