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Idaho rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.80 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.45 / $163.27 / $362.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.58 / $100.58 / $100.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.46 / $182.36 / $249.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.91 / $192.15 / $399.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.39 / $247.10 / $299.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $209.65 / $263.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.45 / $1,753.89 / $2,148.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.42 / $243.31 / $310.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.15 / $206.66 / $289.12