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Vermont 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
Professional
Modifier
Low / Median / High Price
$74.13 / $102.33 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $158.49
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $125.89 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $213.80