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Illinois rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.01 / $849.00 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.66 / $86.54 / $181.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.06 / $102.06 / $114.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.52 / $916.64 / $1,835.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.64 / $115.65 / $171.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.63 / $116.25 / $182.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.65 / $148.27 / $308.68
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $88.82 / $129.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $146.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.99 / $133.18 / $203.45