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Wyoming 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
$66.07 / $95.50 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $223.87 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $338.84