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Maryland rates for HCPCS 64647

Chemodenervation Of Trunk 6 Or More Muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.09 / $38.09 / $38.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.81 / $163.11 / $353.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.08 / $143.08 / $181.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $86.12 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.27 / $210.26 / $386.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.01 / $246.70 / $369.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.01 / $205.19 / $361.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.72 / $219.93 / $268.58