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Alaska rates for HCPCS 64617

Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.92 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.12 / $531.03 / $763.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.91 / $395.21 / $704.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.35 / $584.13 / $1,068.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.63 / $469.68 / $943.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.50 / $605.00 / $916.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.35 / $584.13 / $1,068.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.50 / $608.75 / $1,046.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.10 / $629.24 / $948.90