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Nebraska rates for HCPCS 64644

Chemodenervation of one extremity; 5 or more muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.78 / $3,795.64 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.16 / $159.78 / $409.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.54 / $245.54 / $245.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.55 / $947.72 / $1,833.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.77 / $208.59 / $330.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.84 / $152.84 / $152.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.20 / $325.19 / $476.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.63 / $240.63 / $529.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.35 / $323.47 / $845.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.65 / $300.58 / $474.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.44 / $325.19 / $476.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.35 / $339.61 / $421.48