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Pennsylvania rates for HCPCS 64645

Chemodenervation 1 Extremity Ea Addl 5/> Muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.29 / $1,340.00 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.43 / $104.18 / $194.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.84 / $168.64 / $211.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.24 / $138.24 / $138.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.08 / $128.91 / $215.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.80 / $192.84 / $244.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.96 / $1,819.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.64 / $116.67 / $390.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.60 / $122.60 / $250.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.24 / $138.24 / $138.24
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.89 / $129.61 / $217.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.67 / $90.98 / $121.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.67 / $113.15 / $124.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.65 / $150.88 / $218.51