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Rhode Island rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.53 / $244.67 / $377.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.09 / $272.01 / $483.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.76 / $358.16 / $473.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,388.00 / $2,445.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.23 / $345.56 / $544.96