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North Dakota 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
$66.07 / $91.20 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $89.13 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $162.18 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $114.82 / $275.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $169.82 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $138.04 / $199.53