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Michigan rates for HCPCS 64642

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

Facilitymedian $776 · 10th–90th $141$4,8980%10%10th90th$776Professionalmedian $162 · 10th–90th $100$3890%10%10th90th$162$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $776.25 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $158.49 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $239.88 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $147.91 / $239.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $562.34 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $177.83 / $316.23
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $147.91 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $1,584.89 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $151.36 / $204.17