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Louisiana 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
$295.12 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$954.99 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $281.84
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$575.44 / $691.83 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $676.08 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $177.83 / $257.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $181.97 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,047.13 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $295.12