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Arizona rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $3,008.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.33 / $225.33 / $992.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.71 / $1,516.10 / $2,479.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.27 / $170.34 / $204.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.41 / $258.22 / $429.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.26 / $257.72 / $1,371.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.68 / $274.62 / $1,898.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $2,017.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.20 / $242.09 / $485.80