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Rhode Island rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.24 / $1,518.41 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.23 / $134.16 / $234.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $161.99 / $248.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.81 / $220.77 / $291.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $2,445.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.93 / $208.57 / $323.33