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Tennessee rates for HCPCS 64620

Dstrj Neurolytic Agent Intercostal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.58 / $2,258.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.06 / $211.10 / $319.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.20 / $354.20 / $354.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,487.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.04 / $261.67 / $405.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.73 / $258.88 / $436.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.40 / $1,248.48 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.32 / $1,600.33 / $1,772.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.00 / $1,463.00 / $2,886.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.76 / $269.68 / $478.44