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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
$234.55 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.21 / $234.55 / $992.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.60 / $6,541.64 / $12,653.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.68 / $335.51 / $480.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.91 / $716.91 / $716.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.45 / $493.03 / $731.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.54 / $331.00 / $892.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.83 / $473.03 / $1,498.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.77 / $585.41 / $953.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.09 / $473.31 / $644.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.83 / $490.91 / $616.35