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New Mexico 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
$159.71 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.06 / $159.71 / $265.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.50 / $1,805.88 / $2,942.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.27 / $177.11 / $362.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.52 / $193.44 / $311.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $244.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.99 / $140.84 / $234.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.97 / $206.37 / $334.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $2,516.00 / $2,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.40 / $270.00 / $388.80