go back

Texas rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.44 / $1,760.09 / $6,386.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.41 / $130.76 / $242.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.29 / $136.96 / $187.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.34 / $115.28 / $440.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.77 / $139.07 / $201.10
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.05 / $476.66 / $910.36
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $150.57 / $233.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.90 / $597.60 / $597.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.52 / $181.52 / $181.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.66 / $171.89 / $276.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $523.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.84 / $919.58 / $1,315.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.87 / $151.54 / $252.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.82 / $194.33 / $278.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.65 / $176.09 / $217.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.56 / $152.53 / $256.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.13 / $179.42 / $284.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.00 / $1,529.00 / $3,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.42 / $151.22 / $251.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.82 / $144.32 / $201.68