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Washington, DC rates for HCPCS 64612

Chemodnrvtj Musc Musc Innervated Facial Nrv Unil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.58 / $1,190.56 / $3,175.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$461.96 / $461.96 / $461.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.04 / $143.18 / $366.80
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$347.41 / $521.11 / $561.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.27 / $182.35 / $660.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.14 / $246.07 / $361.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.00 / $322.16 / $322.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.40 / $219.29 / $384.29