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North Carolina rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.26 / $347.05 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.26 / $254.77 / $389.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.08 / $575.08 / $583.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.68 / $354.82 / $541.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $820.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.33 / $310.56 / $576.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.26 / $287.89 / $445.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.02 / $286.00 / $600.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.05 / $337.10 / $431.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.00 / $2,417.00 / $4,102.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.36 / $299.98 / $643.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.92 / $957.74 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.00 / $1,854.08 / $2,176.94