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Oregon rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $575.44 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $407.38 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $346.74 / $549.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $630.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $436.52 / $512.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $346.74 / $537.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $416.87 / $645.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,884.03 / $3,630.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $478.63 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,311.31 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $616.60