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Tennessee 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
$138.96 / $1,791.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $85.80 / $149.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $143.00 / $388.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.72 / $108.94 / $169.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.77 / $111.41 / $178.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $335.30 / $335.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.04 / $669.04 / $792.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $114.53 / $192.71