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Arizona rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.24 / $2,260.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $84.79 / $357.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.48 / $383.38 / $631.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.57 / $60.71 / $74.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.51 / $104.66 / $169.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.47 / $97.58 / $1,203.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.15 / $111.72 / $510.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $95.76 / $185.51