go back

Oregon rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.10 / $525.08 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $99.83 / $381.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $842.00 / $842.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.66 / $158.65 / $246.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.22 / $175.43 / $223.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.94 / $130.82 / $220.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.74 / $156.00 / $227.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.96 / $171.58 / $188.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.94 / $131.34 / $237.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.19 / $176.39 / $245.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.19 / $183.40 / $256.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $182.00 / $291.97