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Maine rates for HCPCS 64617

Chemodenervation Muscle Larynx Unilat W/Emg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.59 / $157.16 / $207.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.87 / $141.03 / $206.01
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$179.81 / $211.54 / $309.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.76 / $206.08 / $338.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.38 / $199.50 / $354.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.40 / $165.75 / $216.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.80 / $239.38 / $326.60