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Tennessee 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
$234.11 / $1,791.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.29 / $145.94 / $297.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.10 / $152.28 / $240.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,483.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.02 / $175.58 / $272.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.33 / $187.10 / $286.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $588.62 / $588.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.78 / $1,063.59 / $1,330.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $170.18 / $309.62