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Arkansas rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.42 / $1,074.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.53 / $252.97 / $318.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.69 / $866.69 / $1,040.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.66 / $285.35 / $377.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.58 / $726.58 / $726.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.91 / $345.79 / $486.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $811.00 / $1,574.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.89 / $305.02 / $484.86