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Wisconsin rates for HCPCS 64617

Chemodenervation Muscle Larynx Unilat W/Emg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.36 / $220.25 / $1,894.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$954.20 / $954.20 / $954.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.36 / $154.69 / $566.87
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,634.94 / $1,634.94 / $1,634.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $2,479.00 / $4,441.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.56 / $243.32 / $589.91
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.50 / $364.98 / $917.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.03 / $500.19 / $767.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.11 / $411.13 / $716.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.01 / $160.18 / $317.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.88 / $213.57 / $3,034.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.56 / $349.55 / $1,203.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.09 / $164.41 / $367.52
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.01 / $160.18 / $317.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.61 / $369.15 / $544.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.79 / $176.79 / $493.51
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.93 / $685.04 / $1,310.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.60 / $621.86 / $943.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,957.00 / $3,068.00 / $4,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.88 / $327.25 / $706.50