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South Carolina 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
$190.55 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $158.49 / $371.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$218.78 / $645.65 / $1,737.80
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$251.19 / $251.19 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $446.68 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $169.82 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $141.25 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $346.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $177.83 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,890.45 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $158.49 / $288.40