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Rhode Island rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.00 / $1,518.41 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.17 / $86.54 / $152.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.19 / $98.25 / $163.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.75 / $140.66 / $189.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.40 / $118.50 / $176.93