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Ohio 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
$146.41 / $1,397.36 / $9,496.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$911.64 / $1,955.20 / $4,555.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.30 / $123.01 / $233.35
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$168.66 / $316.44 / $834.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.44 / $181.90 / $202.69
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$198.79 / $204.63 / $208.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.72 / $116.36 / $189.55
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$133.08 / $174.73 / $284.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.58 / $125.50 / $156.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.93 / $168.91 / $267.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.35 / $165.68 / $242.85
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.33 / $592.55 / $758.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.75 / $166.26 / $242.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.08 / $141.33 / $221.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $965.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.15 / $171.55 / $246.23