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Vermont rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.08 / $220.40 / $298.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.03 / $304.91 / $546.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.10 / $318.58 / $546.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.23 / $343.39 / $998.27