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California rates for HCPCS 64634

Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.31 / $3,764.00 / $15,747.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$145.25 / $145.25 / $5,103.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $191.53 / $716.62
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$99.32 / $161.93 / $574.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.34 / $58.34 / $293.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.00 / $4,418.00 / $9,274.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.68 / $111.09 / $263.20
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$105.51 / $130.97 / $429.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $308.20 / $766.69
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $169.53 / $350.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.08 / $191.98 / $428.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.82 / $80.93 / $389.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.06 / $232.32 / $489.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $457.41 / $457.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.79 / $2,060.00 / $2,093.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.12 / $195.94 / $409.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.95 / $193.01 / $493.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.33 / $222.33 / $628.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.83 / $96.44 / $360.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $1,551.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.86 / $224.56 / $439.70