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Indiana rates for HCPCS 64647

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $427.13 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.11 / $156.88 / $206.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.35 / $119.31 / $164.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.54 / $151.50 / $222.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $193.18 / $241.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.25 / $122.25 / $144.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.33 / $195.37 / $286.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.96 / $197.59 / $331.91