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New Hampshire rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $137.55 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $96.24 / $137.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.67 / $112.95 / $153.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.45 / $147.75 / $241.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.30 / $147.10 / $274.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.25 / $158.05 / $273.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.29 / $80.09 / $105.53