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Ohio rates for HCPCS 64646

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.80 / $2,113.00 / $9,504.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.10 / $142.60 / $260.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.97 / $121.97 / $121.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.65 / $125.45 / $201.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.68 / $131.66 / $164.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.38 / $166.38 / $211.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.51 / $185.75 / $278.58
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.98 / $762.90 / $1,708.17
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.56 / $186.31 / $286.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.74 / $213.48 / $304.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.20 / $1,452.00 / $3,756.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $198.00 / $283.14