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Utah rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.74 / $538.72 / $4,312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $104.74 / $416.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.68 / $116.94 / $173.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.51 / $61.32 / $75.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.69 / $172.82 / $254.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $100.70 / $159.00