go back

South Carolina rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.51 / $1,378.70 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.75 / $134.99 / $289.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.23 / $130.36 / $250.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.81 / $983.24 / $1,676.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.76 / $209.36 / $302.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $136.97 / $181.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.57 / $182.11 / $290.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.51 / $183.27 / $284.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.31 / $135.31 / $135.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.22 / $187.09 / $290.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.25 / $157.22 / $290.95