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Wyoming 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
Professional
Modifier
Low / Median / High Price
$77.89 / $100.57 / $124.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $244.00 / $392.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.38 / $180.85 / $304.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.15 / $233.34 / $413.41