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Alaska rates for HCPCS 64643

Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.37 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $123.37 / $433.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.38 / $240.77 / $395.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.01 / $368.42 / $606.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.20 / $272.67 / $547.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $379.35 / $526.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.01 / $368.42 / $606.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.69 / $365.75 / $530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.96 / $240.22 / $546.50