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Ohio rates for HCPCS 64647

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.79 / $2,292.00 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.11 / $162.79 / $294.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.39 / $144.16 / $235.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.65 / $149.41 / $186.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.70 / $186.70 / $237.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.65 / $212.16 / $322.58
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.88 / $224.88 / $224.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.65 / $212.16 / $322.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.74 / $213.48 / $304.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,940.00 / $4,067.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.22 / $229.63 / $363.24