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Virginia rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.46 / $2,012.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.57 / $143.09 / $250.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.96 / $126.55 / $209.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.03 / $124.01 / $1,757.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.52 / $181.52 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.88 / $161.63 / $289.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.44 / $188.11 / $222.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.70 / $167.21 / $254.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $201.49 / $291.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.37 / $143.60 / $780.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.72 / $189.90 / $780.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $1,890.00 / $3,765.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.42 / $170.68 / $275.45