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Maine rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.90 / $648.32 / $824.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.45 / $129.84 / $204.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.10 / $140.12 / $204.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.62 / $197.97 / $308.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $190.85 / $338.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.32 / $648.32 / $824.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.11 / $152.84 / $246.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.21 / $190.16 / $306.47