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Missouri rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.83 / $1,184.00 / $6,284.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $87.95 / $385.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.66 / $132.66 / $132.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.38 / $79.72 / $134.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $112.34 / $181.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.44 / $112.72 / $314.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.64 / $155.40 / $687.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.59 / $137.03 / $205.12