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Iowa 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
$154.88 / $2,511.89 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $724.44
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$501.19 / $691.83 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $467.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $194.98 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $331.13 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $323.59 / $794.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $436.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $346.74 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,290.87 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $213.80 / $426.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $363.08