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Pennsylvania rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.97 / $1,978.00 / $7,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.57 / $198.71 / $339.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.68 / $217.59 / $328.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $302.72 / $302.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.16 / $238.63 / $397.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.53 / $328.60 / $425.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.04 / $1,219.04 / $1,723.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.02 / $222.02 / $222.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,266.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.28 / $240.22 / $926.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.10 / $249.30 / $436.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $302.72 / $302.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.09 / $242.15 / $401.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.69 / $172.55 / $237.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.69 / $198.31 / $215.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $1,106.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.93 / $285.58 / $423.48