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West Virginia 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
$172.16 / $977.60 / $977.60
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,308.48 / $1,955.20 / $1,955.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.82 / $125.64 / $243.45
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$304.00 / $355.80 / $363.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.60 / $129.12 / $177.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.12 / $210.53 / $305.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.13 / $186.13 / $186.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.84 / $179.90 / $357.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.06 / $1,063.06 / $1,684.01
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$502.94 / $1,565.11 / $2,208.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.41 / $158.03 / $212.59