go back

Louisiana rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.93 / $1,093.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.26 / $164.93 / $245.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.55 / $1,204.41 / $1,730.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.00 / $173.93 / $243.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.90 / $597.60 / $597.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.65 / $174.46 / $242.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,086.00 / $2,755.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.61 / $167.54 / $345.61