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Maine rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.27 / $594.27 / $594.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.90 / $84.79 / $126.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.40 / $93.42 / $132.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.06 / $121.78 / $191.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.74 / $115.83 / $205.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.27 / $594.27 / $594.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.59 / $96.24 / $147.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.02 / $128.24 / $186.31