go back

South Carolina 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
$138.04 / $4,265.80 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $131.83 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $144.54 / $229.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $128.82 / $213.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $194.98