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Tennessee rates for HCPCS 64630

Destruction by neurolytic agent; pudendal nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.59 / $1,829.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.12 / $235.82 / $345.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.00 / $1,487.00 / $2,257.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.81 / $281.02 / $437.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.50 / $290.58 / $467.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.96 / $957.74 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.00 / $1,854.08 / $2,176.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.74 / $285.49 / $523.61