go back

Maine rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.12 / $222.09 / $285.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.60 / $245.67 / $364.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.68 / $341.92 / $525.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.90 / $319.45 / $567.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.63 / $222.09 / $285.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.65 / $318.43 / $515.26