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Arizona rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,801.89 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $165.96 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $630.96 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $162.18 / $263.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $173.78 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $186.21 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,513.56 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $234.42