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Illinois rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.05 / $849.00 / $3,221.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.41 / $134.88 / $280.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.72 / $1,241.66 / $2,487.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.47 / $191.18 / $281.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.02 / $181.99 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.98 / $181.40 / $286.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.26 / $241.01 / $482.69
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.69 / $137.66 / $214.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $242.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.00 / $1,753.00 / $4,256.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.10 / $199.25 / $318.10