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Montana rates for HCPCS 64645

Chemodenervation 1 Extremity Ea Addl 5/> Muscles

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.43 / $104.18 / $163.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $127.77 / $190.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.77 / $127.77 / $127.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.65 / $139.79 / $190.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.95 / $93.74 / $127.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.88 / $152.80 / $228.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.19 / $190.23 / $214.40