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Nebraska 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
$108.06 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.86 / $108.06 / $422.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.55 / $947.72 / $1,833.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $143.53 / $221.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.61 / $227.79 / $335.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.20 / $169.35 / $274.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $227.66 / $587.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.67 / $232.32 / $327.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.04 / $220.68 / $327.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $232.37 / $302.62