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New Jersey 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
$2,290.87 / $5,888.44 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,715.19 / $10,715.19 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $575.44
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$537.03 / $691.83 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $218.78 / $549.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $269.15
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,238.72 / $3,548.13
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $186.21 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,630.78 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $165.96 / $346.74