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South Carolina rates for HCPCS 64646

Chemodenervation Of Trunk Muscle 1-5 Muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.37 / $1,722.10 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.62 / $139.65 / $240.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.15 / $1,041.04 / $1,676.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.84 / $206.86 / $313.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $136.97 / $197.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.41 / $196.16 / $306.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.37 / $197.36 / $299.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.31 / $135.31 / $135.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.23 / $224.47 / $358.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.55 / $160.43 / $362.11