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Minnesota rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.12 / $147.21 / $2,065.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.45 / $147.21 / $299.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.92 / $1,606.50 / $2,712.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.74 / $345.21 / $541.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.41 / $525.54 / $1,264.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.70 / $364.81 / $635.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.73 / $480.48 / $995.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.63 / $337.87 / $579.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.08 / $248.78 / $2,034.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.75 / $296.54 / $778.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.40 / $261.70 / $566.83