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Pennsylvania rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $2,679.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.32 / $224.15 / $328.92
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.92 / $263.51 / $263.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.19 / $327.19 / $327.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.50 / $264.91 / $442.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.37 / $404.85 / $520.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.96 / $265.05 / $1,283.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.89 / $280.50 / $540.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.19 / $327.19 / $327.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.89 / $270.70 / $446.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.67 / $225.26 / $269.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.67 / $242.07 / $264.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $1,219.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.17 / $302.45 / $438.38