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Utah 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
$263.03 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$912.01 / $912.01 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $186.21 / $645.65
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$549.54 / $645.65 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $269.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $512.86 / $2,754.23
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$645.65 / $758.58 / $4,073.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $281.84 / $512.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $194.98 / $338.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $234.42 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $158.49 / $257.04