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Tennessee rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.88 / $1,791.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.75 / $135.65 / $246.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.09 / $168.09 / $168.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,487.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.18 / $165.40 / $254.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.81 / $169.38 / $272.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $523.83 / $523.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.84 / $1,093.83 / $1,315.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,465.00 / $2,886.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $173.05 / $302.35