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Montana rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.12 / $129.84 / $554.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.31 / $169.31 / $242.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.31 / $169.31 / $169.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.66 / $173.50 / $241.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.36 / $119.59 / $164.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $197.13 / $285.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.45 / $238.84 / $267.30