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Alaska rates for HCPCS 64642

Chemodenervation of one extremity; 1-4 muscle(s)

Facilitymedian $363 · 10th–90th $115–$4,0740%5%10th90th$363Professionalmedian $170 · 10th–90th $102–$5250%10%10th90th$170$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$436.52 / $4,073.80 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $147.91 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $199.53 / $467.74
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $302.00 / $977.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $407.38 / $707.95
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $616.60 / $794.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $257.04 / $724.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $194.98 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $281.84 / $851.14