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Rhode Island rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,454.71 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $165.96 / $275.42