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Utah rates for HCPCS 64647

Chemodenervation Of Trunk 6 Or More Muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.16 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $194.16 / $686.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.21 / $216.81 / $341.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.95 / $169.23 / $222.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.47 / $1,326.87 / $1,910.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.51 / $329.40 / $478.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.30 / $193.42 / $305.27