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Washington, DC rates for HCPCS 64645

Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $1,862.09 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $120.23 / $269.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $120.23 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $147.91 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $549.54 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $138.04 / $245.47