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Indiana rates for HCPCS 64617

Chemodenervation Muscle Larynx Unilat W/Emg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.46 / $260.75 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $140.84 / $190.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$177.50 / $574.91 / $574.91
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$326.66 / $326.66 / $326.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.05 / $102.96 / $142.08
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$130.58 / $154.44 / $213.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.02 / $150.03 / $205.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.18 / $181.48 / $261.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.31 / $115.31 / $136.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.40 / $187.22 / $304.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.03 / $198.03 / $337.41