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Maine rates for HCPCS 64616

Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.62 / $577.62 / $577.62
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$349.85 / $349.85 / $349.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $123.51 / $182.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.40 / $142.82 / $210.46
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$182.10 / $214.23 / $315.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.88 / $177.47 / $279.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.26 / $172.71 / $306.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.62 / $577.62 / $577.62
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$349.85 / $349.85 / $349.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.10 / $145.36 / $216.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.28 / $171.51 / $243.62