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Nebraska rates for HCPCS 64646

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.50 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.35 / $142.50 / $591.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.55 / $947.72 / $1,833.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.09 / $198.37 / $295.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.67 / $125.67 / $125.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $311.64 / $447.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.25 / $226.59 / $532.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.60 / $304.60 / $837.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.38 / $283.35 / $427.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.11 / $304.27 / $427.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.60 / $304.60 / $395.44