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Utah rates for HCPCS 64616

Chemodenervation Muscle Neck Unilat For Dystonia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.74 / $444.59 / $4,312.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$61.75 / $387.72 / $712.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $140.81 / $553.03
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$162.54 / $531.98 / $898.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.69 / $164.26 / $257.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.42 / $117.51 / $164.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.21 / $561.58 / $818.38
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$648.32 / $842.37 / $1,227.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.20 / $255.73 / $340.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.60 / $145.16 / $221.56