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Idaho rates for HCPCS 64644

Chemodenervation of one extremity; 5 or more muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,090.30 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $173.78 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $912.01 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $199.53 / $288.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $309.03 / $1,412.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $257.04 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,548.82 / $2,238.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $245.47 / $371.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $2,630.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $295.12