go back

Maine rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $162.18 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $162.18 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $309.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $363.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $831.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $162.18 / $316.23