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Vermont rates for HCPCS 64642

Chemodenervation One Extremity 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.75 / $125.81 / $173.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.11 / $166.11 / $537.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.59 / $184.03 / $326.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $191.65 / $281.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.35 / $208.49 / $596.53