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Michigan rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.42 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.32 / $251.24 / $335.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.41 / $1,049.77 / $1,422.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.21 / $244.54 / $333.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.28 / $257.82 / $452.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.09 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.09 / $254.47 / $384.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.72 / $233.97 / $341.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $3,005.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.99 / $275.74 / $374.68