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Missouri rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $2,511.89 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $218.78 / $831.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $234.42 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $302.00 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $380.19 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,047.13 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $251.19 / $416.87