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West Virginia 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
$65.91 / $107.12 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $84.79 / $139.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.59 / $90.38 / $124.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $80.34 / $80.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.27 / $119.69 / $266.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.13 / $1,954.13 / $1,954.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.08 / $114.63 / $163.09