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Arizona 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
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.32 / $154.69 / $341.42
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,206.00 / $1,206.00 / $1,687.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.94 / $771.55 / $1,261.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.36 / $95.45 / $127.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.94 / $182.96 / $302.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.49 / $168.39 / $1,438.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.00 / $216.00 / $803.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,958.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.79 / $194.40 / $334.18