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Indiana rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Facilitymedian $4,074 · 10th–90th $724–$8,3180%10%10th90th$4,074Professionalmedian $234 · 10th–90th $178–$4680%10%10th90th$234$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$295.12 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $4,365.16 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $213.80 / $346.74
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $190.55 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $281.84 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $263.03 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,951.21 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $398.11