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Illinois rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Facilitymedian $1,862 · 10th–90th $355–$5,6230%5%10th90th$1,862Professionalmedian $263 · 10th–90th $178–$5130%10%10th90th$263$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,862.09 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,380.38 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $316.23 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $478.63
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $389.05 / $1,122.02
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $245.47 / $354.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,412.54 / $3,548.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $263.03 / $436.52