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Pennsylvania rates for HCPCS 64647

Chemodenervation Of Trunk 6 Or More Muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $2,070.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.31 / $162.12 / $291.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.43 / $255.66 / $326.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.88 / $224.88 / $224.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $199.40 / $331.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.34 / $292.67 / $370.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.82 / $1,552.05 / $3,586.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.81 / $186.20 / $686.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.90 / $189.90 / $373.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.88 / $224.88 / $224.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $203.12 / $339.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.09 / $147.21 / $187.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.09 / $171.10 / $188.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $1,305.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.52 / $226.31 / $346.14