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Arizona rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.53 / $214.91 / $368.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.71 / $1,516.10 / $2,479.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.60 / $149.66 / $172.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.81 / $241.05 / $394.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.64 / $237.62 / $1,371.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.06 / $282.80 / $1,600.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.00 / $1,643.00 / $3,294.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.72 / $247.68 / $443.09