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Montana rates for HCPCS 64646

Chemodenervation of trunk muscle(s); 1-5 muscle(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $158.49 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $181.97 / $251.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $239.88 / $288.40
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $288.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $169.82 / $288.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $194.98 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $218.78 / $281.84