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Idaho rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,408.53 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.19 / $270.37 / $513.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.77 / $573.77 / $575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.51 / $297.86 / $368.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.22 / $346.07 / $590.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.13 / $348.04 / $492.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $295.48 / $371.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.11 / $2,326.44 / $3,453.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.39 / $362.68 / $429.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.47 / $312.72 / $434.94