go back

Washington rates for HCPCS 64617

Chemodenervation Muscle Larynx Unilat W/Emg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.71 / $506.42 / $13,750.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,328.94 / $1,328.94 / $2,906.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.52 / $199.71 / $461.92
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$273.74 / $584.00 / $584.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.66 / $1,824.43 / $3,748.81
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,622.22 / $2,939.66 / $5,687.07
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.09 / $309.83 / $1,310.76
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$324.36 / $325.50 / $630.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.80 / $765.00 / $870.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.11 / $249.65 / $458.06
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.60 / $242.96 / $440.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,292.06 / $1,928.84 / $4,640.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.60 / $238.77 / $415.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.99 / $229.20 / $409.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.77 / $312.06 / $347.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.48 / $219.25 / $222.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.93 / $269.22 / $407.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.18 / $1,916.28 / $3,748.81
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,833.27 / $2,874.42 / $5,623.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.91 / $260.44 / $384.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.00 / $938.00 / $4,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.08 / $286.20 / $464.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.45 / $133.62 / $176.80