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Arizona rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,055.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.75 / $130.33 / $542.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.25 / $131.25 / $131.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.94 / $766.73 / $1,261.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $94.12 / $121.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.79 / $162.57 / $258.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.89 / $160.41 / $1,487.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.54 / $169.85 / $778.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,958.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.70 / $150.84 / $293.31