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Missouri rates for HCPCS 64643

Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $1,659.59 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $123.03 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $77.62 / $147.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $79.43 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $100.00 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $112.20 / $181.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $112.20 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $151.36 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $707.95 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $109.65 / $169.82