go back

Illinois rates for HCPCS 64616

Chemodenervation Muscle Neck Unilat For Dystonia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.46 / $800.00 / $3,636.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$59.20 / $1,182.33 / $5,810.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $123.51 / $264.05
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$84.33 / $316.80 / $898.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.17 / $1,208.74 / $2,636.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.22 / $189.48 / $259.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.69 / $150.36 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.53 / $182.29 / $268.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.44 / $224.15 / $687.97
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.08 / $143.62 / $200.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $227.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.31 / $177.74 / $297.27