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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
$380.19 / $3,548.13 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $229.09 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $204.17 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $323.59 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $239.88 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $323.59 / $851.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $363.08 / $478.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,819.70 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $239.88 / $407.38