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Oklahoma rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.14 / $201.09 / $256.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.10 / $247.54 / $332.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.49 / $770.49 / $770.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.24 / $285.70 / $382.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.75 / $277.50 / $2,038.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.88 / $270.24 / $1,898.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.37 / $253.35 / $377.44