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Indiana rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.63 / $611.22 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.33 / $222.04 / $292.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,353.00 / $8,052.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.15 / $216.14 / $298.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.20 / $226.46 / $315.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.76 / $278.11 / $347.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.52 / $640.52 / $759.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.00 / $271.83 / $436.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.86 / $250.46 / $435.17