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Mississippi rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.65 / $935.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.07 / $135.65 / $355.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.21 / $111.43 / $239.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.53 / $121.53 / $133.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.00 / $339.00 / $339.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.42 / $86.67 / $95.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.21 / $185.18 / $288.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $870.00 / $3,779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.54 / $196.48 / $370.29