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Massachusetts rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.80 / $538.20 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.57 / $151.44 / $390.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.62 / $1,177.70 / $3,472.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.42 / $237.36 / $759.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.91 / $159.22 / $284.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.31 / $257.07 / $398.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.54 / $227.44 / $391.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.26 / $214.32 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.81 / $213.14 / $294.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.91 / $290.77 / $472.32
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.64 / $959.99 / $3,863.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.09 / $275.86 / $817.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,600.00 / $7,161.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.18 / $286.86 / $1,093.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.22 / $234.04 / $498.35