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Nebraska rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $5,011.87 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,456.54 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $338.84 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $457.09 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $338.84 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $691.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,819.70 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $371.54 / $588.84