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Maryland rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $174.38 / $986.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.16 / $86.01 / $244.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.39 / $76.34 / $96.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.58 / $110.24 / $199.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.46 / $125.66 / $189.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.13 / $110.84 / $218.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.77 / $112.02 / $137.81