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Massachusetts 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
$204.17 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$707.95 / $1,047.13 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $457.09
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$177.83 / $691.83 / $1,174.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,174.90 / $3,801.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $208.93 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $239.88 / $407.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $194.98 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $323.59
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,511.89 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $204.17 / $416.87
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,174.90 / $3,801.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $208.93 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,344.23 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $213.80 / $436.52