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Oklahoma rates for HCPCS 64620

Dstrj Neurolytic Agent Intercostal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.46 / $185.81 / $251.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.80 / $2,911.67 / $4,600.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.72 / $276.83 / $363.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.49 / $770.49 / $770.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.27 / $246.78 / $351.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.96 / $250.81 / $2,038.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.83 / $285.51 / $1,600.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $1,595.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.07 / $228.77 / $338.10