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Georgia 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
$323.59 / $3,548.13 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $102.33 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $123.03 / $602.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $1,513.56 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $190.55