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Montana rates for HCPCS 64646

Chemodenervation Of Trunk Muscle 1-5 Muscles

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.62 / $135.37 / $591.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $183.50 / $256.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.50 / $183.50 / $183.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.16 / $186.79 / $255.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.80 / $126.26 / $173.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.13 / $206.63 / $303.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.75 / $246.97 / $279.51