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Illinois rates for HCPCS 64647

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.42 / $1,055.00 / $4,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.61 / $162.79 / $299.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.89 / $1,468.39 / $3,202.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.32 / $252.54 / $336.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.50 / $198.15 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.65 / $225.40 / $353.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.81 / $290.42 / $615.82
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.90 / $171.67 / $257.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $290.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.00 / $1,753.00 / $4,256.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.75 / $243.65 / $396.71