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Montana rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $84.79 / $369.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.89 / $109.89 / $147.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.89 / $109.89 / $109.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.51 / $114.50 / $155.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $72.58 / $99.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.58 / $125.59 / $186.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.55 / $151.05 / $175.56