go back

Washington rates for HCPCS 64430

Injection Aa&/Strd Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.34 / $392.64 / $13,750.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,223.50 / $3,223.50 / $3,223.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.02 / $127.39 / $241.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.47 / $200.47 / $200.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.89 / $2,583.03 / $11,500.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,799.32 / $3,874.55 / $7,495.73
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.17 / $155.41 / $1,087.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$159.99 / $290.37 / $316.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $568.48 / $1,132.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.33 / $155.22 / $283.10
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.96 / $194.19 / $840.73
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,907.75 / $2,550.75 / $5,846.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.96 / $188.92 / $491.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.14 / $151.02 / $268.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.80 / $191.51 / $261.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.18 / $134.82 / $927.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.68 / $142.58 / $245.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.98 / $2,581.55 / $4,941.05
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,512.46 / $3,872.33 / $7,411.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.24 / $135.83 / $236.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.00 / $938.00 / $4,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.08 / $197.27 / $284.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.84 / $80.89 / $108.36