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Minnesota rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $234.42 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,698.24 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $933.25 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $660.69 / $1,071.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,778.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $380.19 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $467.74 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,238.72 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $389.05 / $776.25