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Alaska rates for HCPCS 64644

Chemodenervation of one extremity; 5 or more muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.10 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.59 / $163.62 / $804.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.02 / $417.00 / $756.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.46 / $603.76 / $1,126.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.02 / $521.10 / $1,047.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.50 / $671.25 / $942.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.46 / $603.76 / $1,126.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.10 / $649.79 / $930.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.58 / $652.59 / $984.12