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Indiana rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.51 / $437.47 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.66 / $82.32 / $128.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.33 / $92.79 / $116.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $123.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.40 / $64.00 / $88.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.86 / $80.42 / $114.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.63 / $100.36 / $125.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.04 / $103.16 / $150.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $104.87 / $176.16