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Virginia rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.51 / $2,190.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.15 / $214.51 / $296.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $209.08 / $345.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.94 / $200.80 / $2,012.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $302.72 / $420.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.86 / $253.31 / $435.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.84 / $258.36 / $302.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.99 / $249.80 / $401.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $312.14 / $424.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.71 / $226.62 / $975.92
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.87 / $308.97 / $996.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $1,870.00 / $3,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.57 / $288.06 / $439.26