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Nebraska rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.84 / $3,398.27 / $12,765.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.80 / $113.10 / $409.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.19 / $147.19 / $199.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.55 / $947.72 / $1,833.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.31 / $121.03 / $173.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.00 / $188.93 / $263.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $138.34 / $314.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.70 / $186.42 / $510.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.77 / $189.95 / $263.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.22 / $186.70 / $263.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.70 / $184.73 / $240.58