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Nebraska 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
$151.00 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.64 / $151.00 / $566.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.55 / $947.72 / $1,833.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.03 / $199.03 / $305.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.06 / $129.06 / $129.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.67 / $330.45 / $465.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.60 / $249.15 / $493.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.56 / $341.48 / $803.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.88 / $290.64 / $439.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.08 / $330.45 / $452.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.56 / $354.15 / $425.52