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Mississippi rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.80 / $750.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.01 / $240.58 / $615.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.41 / $533.41 / $533.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.00 / $594.00 / $594.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.66 / $494.44 / $1,168.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.17 / $319.00 / $465.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $858.00 / $1,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.15 / $283.02 / $574.57