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Indiana rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.92 / $597.41 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.75 / $128.19 / $207.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.73 / $118.73 / $118.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,097.10 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.05 / $95.45 / $131.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.98 / $123.47 / $186.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.72 / $164.08 / $205.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.28 / $112.28 / $133.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.66 / $158.63 / $230.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.44 / $158.78 / $267.73