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Vermont rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $173.78 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $239.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $199.53 / $354.81