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Michigan rates for HCPCS 64645

Chemodenervation 1 Extremity Ea Addl 5/> Muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.44 / $1,662.01 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.92 / $105.44 / $158.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.24 / $1,824.23 / $2,471.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $32.81 / $139.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $115.37 / $217.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.44 / $1,662.01 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.08 / $114.97 / $169.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.79 / $102.07 / $144.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.81 / $142.78 / $186.57