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North Carolina 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
$91.41 / $553.79 / $1,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $91.41 / $394.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.71 / $96.71 / $123.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.68 / $167.35 / $240.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $606.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.55 / $124.23 / $220.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.25 / $105.12 / $161.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $115.00 / $123.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.28 / $108.50 / $145.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.33 / $135.27 / $243.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $335.30 / $335.30
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.04 / $585.83 / $792.30