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Washington rates for HCPCS 64616

Chemodenervation Muscle Neck Unilat For Dystonia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.67 / $654.12 / $11,522.02
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$643.36 / $850.80 / $6,569.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $154.87 / $335.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$162.54 / $680.02 / $855.00
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$375.54 / $375.54 / $375.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.94 / $786.75 / $1,605.58
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$905.78 / $1,259.03 / $2,435.71
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.53 / $281.00 / $1,000.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$306.18 / $400.14 / $537.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.96 / $765.00 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.18 / $220.71 / $386.86
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.25 / $202.19 / $314.41
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$738.07 / $878.49 / $2,113.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.25 / $197.27 / $307.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.67 / $184.72 / $375.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.84 / $244.55 / $280.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.93 / $185.73 / $191.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.95 / $257.27 / $342.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.53 / $838.87 / $1,605.58
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$882.80 / $1,258.31 / $2,408.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.16 / $242.44 / $339.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $546.00 / $5,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.44 / $217.74 / $390.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.67 / $116.48 / $150.41