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Oklahoma rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $3,612.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.17 / $82.73 / $105.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.79 / $1,783.71 / $2,818.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.87 / $93.94 / $122.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $109.33 / $148.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.85 / $100.00 / $1,172.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $105.05 / $510.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.51 / $100.42 / $137.81