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West Virginia 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
$76.95 / $126.83 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.92 / $109.54 / $189.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $107.01 / $147.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.30 / $95.12 / $95.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.24 / $138.24 / $138.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $137.15 / $320.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.78 / $143.31 / $194.07