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Michigan rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.96 / $812.21 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $93.92 / $194.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $97.82 / $124.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.76 / $1,473.89 / $1,996.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $110.78 / $217.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $96.00 / $166.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.54 / $812.21 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.32 / $104.73 / $203.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.90 / $67.99 / $96.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.25 / $114.98 / $152.47