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Virginia rates for HCPCS 64647

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.04 / $3,226.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $163.96 / $210.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.54 / $157.99 / $261.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.08 / $143.08 / $1,757.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.88 / $224.88 / $640.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.71 / $199.62 / $346.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.58 / $221.82 / $262.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.04 / $205.50 / $316.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.00 / $249.33 / $365.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.87 / $178.05 / $828.24
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.51 / $234.16 / $845.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $1,890.00 / $3,765.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.77 / $225.07 / $342.74