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California 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
$1,445.44 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$616.60 / $1,000.00 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $173.78 / $724.44
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$251.19 / $575.44 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.93 / $208.93 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,466.84 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $245.47 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$151.36 / $208.93 / $316.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $630.96 / $1,778.28
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $204.17 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $354.81
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $165.96 / $302.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $660.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,348.96 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $229.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $173.78 / $281.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $208.93 / $363.08
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $537.03
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $138.04 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,884.03 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $309.03