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Indiana rates for HCPCS 64612

Chemodnrvtj Musc Musc Innervated Facial Nrv Unil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.25 / $280.77 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.71 / $135.88 / $237.68
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$217.52 / $221.73 / $513.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $114.60 / $184.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $3,896.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.96 / $110.55 / $156.97
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$140.94 / $165.82 / $235.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.82 / $143.01 / $216.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.23 / $147.88 / $194.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.21 / $106.21 / $125.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $178.62 / $275.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.22 / $158.54 / $266.72