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Wisconsin rates for HCPCS 64647

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

Facilitymedian $2,818 · 10th–90th $251$5,6230%10%10th90th$2,818Professionalmedian $204 · 10th–90th $123$5750%10%10th90th$204$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $257.04 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $173.78 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $245.47 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $549.54 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $426.58 / $812.83
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $245.47 / $3,311.31
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $338.84 / $489.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $251.19 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $331.13 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,019.95 / $3,235.94
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $407.38 / $724.44
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $380.19 / $630.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $354.81 / $812.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $588.84 / $1,288.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $616.60
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $741.31 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,754.23 / $5,011.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $245.47 / $616.60