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North Carolina 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
$123.62 / $366.75 / $5,449.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$405.70 / $893.92 / $1,215.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $133.60 / $285.58
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$159.08 / $392.34 / $796.50
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$264.29 / $264.29 / $315.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.14 / $76.14 / $77.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.08 / $204.69 / $331.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.80 / $118.80 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.96 / $176.25 / $319.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.66 / $153.63 / $238.79
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$239.25 / $245.01 / $452.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $157.00 / $176.00
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$245.01 / $245.01 / $245.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.02 / $168.18 / $213.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.42 / $178.13 / $349.30
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $534.90 / $534.90
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.56 / $966.30 / $1,209.53