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Missouri rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.34 / $1,184.00 / $6,284.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.65 / $134.99 / $519.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.78 / $217.78 / $217.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.97 / $118.92 / $200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $533.00 / $600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.86 / $175.77 / $284.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.38 / $178.88 / $1,103.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.22 / $240.26 / $1,122.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.00 / $1,632.00 / $2,675.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.87 / $206.31 / $321.08