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West Virginia rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.39 / $1,669.44 / $1,669.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.45 / $130.22 / $232.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.20 / $139.55 / $192.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.62 / $124.04 / $124.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.52 / $181.52 / $181.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.87 / $180.17 / $394.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.55 / $1,761.19 / $1,954.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.42 / $172.08 / $241.89