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Missouri rates for HCPCS 64647

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.52 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.56 / $162.12 / $291.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.70 / $147.76 / $249.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.38 / $216.56 / $349.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.68 / $221.69 / $1,103.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.70 / $295.00 / $1,337.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,675.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.00 / $253.99 / $398.51