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North Carolina rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.80 / $629.96 / $3,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.21 / $147.80 / $332.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.27 / $144.27 / $194.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.38 / $253.09 / $369.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.79 / $143.79 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.56 / $191.79 / $340.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.76 / $167.21 / $250.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $176.00 / $196.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.40 / $165.78 / $237.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.00 / $2,417.00 / $4,102.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.88 / $183.37 / $385.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $523.83 / $523.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.84 / $919.58 / $1,315.65