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Missouri rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.63 / $3,131.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.82 / $216.65 / $327.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $230.00 / $336.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.55 / $286.62 / $463.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.63 / $310.58 / $1,751.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.69 / $399.85 / $1,898.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.41 / $334.14 / $534.70