go back

Vermont rates for HCPCS 64615

Chemodervate Facial/Trigem/Cerv Musc 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