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Texas rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.31 / $2,128.00 / $7,316.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.62 / $201.06 / $335.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.72 / $1,299.28 / $2,752.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.91 / $203.91 / $308.07
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.79 / $980.90 / $4,136.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.87 / $2,285.67 / $2,285.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $302.72 / $302.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.10 / $260.39 / $398.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.40 / $11,500.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.32 / $1,600.33 / $1,772.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.68 / $239.84 / $425.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.23 / $287.13 / $383.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.08 / $253.25 / $649.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.98 / $246.20 / $430.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $271.00 / $419.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.00 / $1,800.00 / $4,144.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.07 / $232.09 / $389.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.86 / $199.73 / $278.63