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Alaska rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.09 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.28 / $860.70 / $996.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.63 / $595.44 / $897.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.54 / $860.70 / $1,394.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.05 / $618.15 / $1,242.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.00 / $865.16 / $1,168.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.50 / $860.70 / $1,394.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.63 / $894.00 / $1,175.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.29 / $831.84 / $1,254.44