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Vermont 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
Professional
Modifier
Low / Median / High Price
$109.45 / $137.82 / $174.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.73 / $201.26 / $537.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.62 / $193.20 / $329.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.08 / $193.69 / $291.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.85 / $206.78 / $601.12