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Oregon rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.80 / $525.08 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.45 / $155.43 / $535.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.47 / $246.31 / $400.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.27 / $273.13 / $370.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.87 / $203.07 / $338.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.22 / $247.10 / $356.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.10 / $264.64 / $309.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.87 / $203.07 / $387.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.34 / $278.39 / $394.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.06 / $2,201.77 / $2,738.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.87 / $288.79 / $411.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,385.00 / $7,480.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.06 / $296.83 / $451.86