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Missouri rates for HCPCS 64644

Chemodenervation of one extremity; 5 or more muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.47 / $1,662.00 / $5,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.40 / $148.75 / $385.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.32 / $130.76 / $218.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $533.00 / $600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.21 / $198.43 / $327.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.96 / $199.35 / $1,103.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.70 / $274.16 / $1,307.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,675.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.40 / $237.22 / $371.08