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Delaware rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.25 / $1,313.85 / $6,404.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.75 / $125.81 / $148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.92 / $91.92 / $91.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.93 / $154.02 / $254.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,538.09 / $2,538.09 / $2,538.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $440.00 / $440.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $166.73 / $332.06