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Virginia 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
$161.04 / $1,226.16 / $6,827.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.51 / $161.04 / $266.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.14 / $145.41 / $240.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.99 / $154.71 / $822.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.55 / $208.55 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.13 / $177.71 / $308.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.47 / $185.67 / $219.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.00 / $180.99 / $271.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.00 / $205.00 / $282.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.08 / $163.74 / $701.53
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.75 / $189.72 / $716.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.61 / $190.85 / $289.20