go back

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
$66.72 / $87.30 / $118.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $189.00 / $304.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.06 / $157.30 / $235.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.17 / $184.59 / $338.00