go back

North Dakota rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $776.25 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $245.47 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $177.83 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $263.03 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,819.70 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $208.93 / $323.59