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Missouri 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
$99.99 / $2,330.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.14 / $102.91 / $194.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $91.36 / $154.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.41 / $139.56 / $226.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.41 / $136.05 / $369.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.90 / $193.58 / $881.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.46 / $165.70 / $261.87