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Pennsylvania rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.68 / $538.20 / $5,310.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $84.88 / $294.77
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.35 / $130.26 / $173.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $104.64 / $169.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.31 / $147.63 / $188.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $116.23 / $122.36
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.10 / $114.15 / $162.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.90 / $1,541.00 / $7,175.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $103.35 / $385.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.90 / $99.90 / $218.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $106.50 / $177.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.62 / $79.34 / $99.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.62 / $87.38 / $95.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.08 / $120.44 / $182.77