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Alaska rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.86 / $5,084.91 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.75 / $185.69 / $690.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.49 / $355.14 / $645.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.78 / $551.75 / $966.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.20 / $449.28 / $902.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $593.12 / $824.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.78 / $551.75 / $966.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.30 / $577.50 / $808.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.06 / $561.29 / $846.44