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Missouri 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
$167.17 / $2,598.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.63 / $137.75 / $290.39
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$273.74 / $273.74 / $273.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.96 / $124.63 / $212.88
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$145.44 / $186.94 / $319.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.04 / $193.41 / $320.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.56 / $188.03 / $1,103.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.09 / $287.91 / $1,310.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,675.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.56 / $254.58 / $374.12