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Ohio rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.57 / $1,967.00 / $8,553.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.83 / $134.88 / $255.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $142.06 / $199.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.43 / $116.11 / $188.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.88 / $120.49 / $150.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.16 / $156.99 / $199.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.50 / $172.14 / $265.74
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.52 / $684.96 / $1,817.44
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.72 / $175.55 / $267.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.45 / $176.62 / $252.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,940.00 / $4,067.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.44 / $187.64 / $268.33