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North Carolina rates for HCPCS 64610

Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.28 / $903.00 / $5,449.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.61 / $1,457.61 / $1,478.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $1,587.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.28 / $796.15 / $1,261.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.88 / $2,335.77 / $12,000.00