go back

Oklahoma rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.04 / $3,612.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.23 / $129.84 / $154.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.61 / $1,793.27 / $2,797.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $141.05 / $193.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.06 / $135.06 / $135.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.59 / $171.46 / $230.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.27 / $153.47 / $2,038.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.51 / $162.90 / $778.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.00 / $1,279.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.98 / $155.40 / $216.77