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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
$63.75 / $82.32 / $106.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.50 / $1,003.50 / $1,246.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.94 / $106.94 / $329.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.90 / $118.19 / $206.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.66 / $121.36 / $184.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.88 / $136.91 / $377.16