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West Virginia rates for HCPCS 64620

Destruction by neurolytic agent, intercostal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.41 / $269.18 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.41 / $214.51 / $330.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.79 / $227.12 / $312.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.68 / $201.89 / $201.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $302.72 / $302.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.33 / $274.01 / $567.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,948.15 / $3,948.15 / $3,948.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $690.00 / $690.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.55 / $284.47 / $434.76