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Utah rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.43 / $983.19 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.45 / $155.43 / $620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.66 / $175.28 / $283.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $151.64 / $187.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.47 / $1,326.87 / $1,910.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.23 / $275.72 / $380.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.70 / $153.79 / $248.84