go back

Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.68 / $111.30 / $118.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.58 / $123.84 / $205.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.44 / $120.44 / $120.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.00 / $143.00 / $143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.15 / $134.09 / $265.42