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Indiana rates for HCPCS 64644

Chemodenervation of one extremity; 5 or more muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.94 / $670.34 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.54 / $144.12 / $203.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.97 / $221.93 / $255.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $3,896.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.55 / $104.30 / $143.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.32 / $134.32 / $217.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.09 / $190.91 / $227.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.55 / $136.55 / $161.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.17 / $179.41 / $265.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.99 / $186.37 / $312.37