go back

Oregon 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
$125.89 / $208.93 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $100.00 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $147.91 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $239.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $117.49 / $229.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $154.88 / $245.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $177.83 / $186.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $123.03 / $204.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $165.96 / $239.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $173.78 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $154.88 / $234.42