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Alaska rates for HCPCS 64647

Chemodenervation of trunk muscle(s); 6 or more muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $776.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $691.83 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $478.63 / $891.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $741.31 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $245.47 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $245.47 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $446.68 / $1,023.29