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Minnesota rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.72 / $252.72 / $2,384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.72 / $252.72 / $362.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.27 / $1,554.06 / $3,239.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.94 / $608.86 / $904.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.01 / $891.05 / $2,143.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.79 / $634.64 / $1,080.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.91 / $814.63 / $1,687.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.94 / $585.10 / $985.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.35 / $384.36 / $704.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.69 / $491.15 / $1,498.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.35 / $482.48 / $966.78