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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
$954.99 / $1,412.54 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $912.01 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $223.87 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $281.84 / $954.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $2,238.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $223.87 / $316.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $165.96 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $2,630.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $257.04