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Montana rates for HCPCS 64644

Chemodenervation of one extremity; 5 or more muscles

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.10 / $148.75 / $287.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.53 / $182.98 / $281.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.98 / $182.98 / $182.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.62 / $198.11 / $276.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.34 / $138.74 / $182.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.49 / $216.94 / $335.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.54 / $275.11 / $309.93