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Texas rates for HCPCS 64615

Chemodervate Facial/Trigem/Cerv Musc Migraine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.80 / $1,665.00 / $6,158.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $140.35 / $271.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.47 / $143.68 / $181.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.39 / $109.82 / $328.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.11 / $143.72 / $203.95
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.90 / $283.89 / $388.05
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.94 / $172.42 / $251.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.29 / $274.23 / $274.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.55 / $208.55 / $208.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.88 / $185.53 / $284.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $588.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.78 / $1,063.59 / $1,330.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.88 / $157.04 / $273.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.01 / $200.87 / $267.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.05 / $175.04 / $244.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.44 / $158.05 / $279.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.91 / $196.27 / $297.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.93 / $161.26 / $262.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.99 / $143.68 / $199.03