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Pennsylvania rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $2,454.71 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $162.18 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $158.49 / $229.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,570.40 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $269.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $263.03 / $338.84
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $173.78 / $269.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,905.46 / $3,235.94
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $204.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,995.26 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $181.97 / $426.58
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $316.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $309.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $151.36 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $151.36 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,584.89 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $154.88 / $239.88