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Wyoming rates for HCPCS 64642

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.72 / $132.78 / $192.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $739.00 / $739.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.00 / $310.00 / $499.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.35 / $235.96 / $388.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.11 / $291.85 / $513.51