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Nebraska rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.85 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.84 / $193.85 / $926.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.60 / $6,541.64 / $12,653.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.03 / $296.63 / $398.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.91 / $716.91 / $716.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.14 / $465.00 / $604.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.47 / $311.30 / $1,108.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.22 / $433.06 / $1,326.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.55 / $524.84 / $921.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.99 / $463.61 / $562.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.00 / $2,743.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.22 / $430.87 / $556.16