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New York 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
$116.97 / $2,399.50 / $7,735.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.06 / $116.08 / $233.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.86 / $111.92 / $276.19
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.05 / $115.05 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.05 / $115.05 / $169.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.24 / $138.24 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.86 / $165.81 / $415.53
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.33 / $133.50 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.91 / $185.76 / $274.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.41 / $111.41 / $111.41
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.45 / $139.18 / $252.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.50 / $198.50 / $198.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.24 / $555.00 / $36,596.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.60 / $168.07 / $420.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.60 / $161.44 / $354.37
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.16 / $93.16 / $221.84
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.39 / $149.04 / $252.80