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Utah rates for HCPCS 64645

Chemodenervation 1 Extremity Ea Addl 5/> Muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.12 / $559.89 / $4,312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.54 / $120.12 / $422.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.65 / $136.94 / $223.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $90.31 / $112.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.51 / $218.83 / $308.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.50 / $132.19 / $201.00