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Idaho rates for HCPCS 64616

Chemodenervation Muscle Neck Unilat For Dystonia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.22 / $384.85 / $7,045.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$307.80 / $307.80 / $307.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $168.66 / $323.41
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$84.33 / $299.58 / $898.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.10 / $83.10 / $83.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.96 / $173.92 / $223.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.40 / $176.18 / $355.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.72 / $223.62 / $271.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $210.18 / $234.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.91 / $742.26 / $932.95
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$760.01 / $1,113.39 / $1,448.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.52 / $237.37 / $283.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.24 / $191.00 / $263.58