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Rhode Island 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
$949.10 / $1,518.41 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.92 / $105.44 / $181.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.31 / $126.80 / $200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.90 / $171.14 / $234.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.22 / $162.69 / $258.30