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Delaware 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
$53.74 / $233.89 / $1,379.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $80.40 / $91.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.87 / $101.11 / $165.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,538.09 / $2,538.09 / $2,538.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $109.33 / $209.81