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Idaho rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.77 / $328.92 / $630.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.77 / $573.77 / $575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.60 / $319.25 / $431.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.06 / $390.04 / $662.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.63 / $413.64 / $501.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $355.68 / $447.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.57 / $2,281.73 / $2,842.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.01 / $436.79 / $527.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $343.50 / $485.80