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Oklahoma rates for HCPCS 64647

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.07 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $159.38 / $195.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.79 / $1,783.71 / $2,818.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $171.77 / $233.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.06 / $147.06 / $147.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.41 / $208.71 / $280.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.82 / $192.13 / $2,038.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.72 / $202.07 / $962.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.96 / $192.89 / $264.56