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Wisconsin rates for HCPCS 64617

Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed

Facilitymedian $2,818 · 10th–90th $219$5,6230%10%10th90th$2,818Professionalmedian $219 · 10th–90th $107$6460%5%10th90th$219$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $331.13 / $1,905.46
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $158.49 / $416.87
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$616.60 / $645.65 / $1,621.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $218.78 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$229.09 / $331.13 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $501.19 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $380.19 / $724.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $218.78 / $3,311.31
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $436.52
DeanCare
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$295.12 / $436.52 / $660.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $223.87 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $338.84 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,951.21 / $3,235.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $363.08 / $676.08
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $309.03 / $524.81
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $660.69
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $501.19 / $1,318.26
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $575.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $229.09 / $588.84