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Alaska rates for HCPCS 64640

Destruction by neurolytic agent; other peripheral nerve or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $229.09 / $602.56
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $501.19 / $1,071.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $331.13 / $1,122.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $588.84 / $1,230.27
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $616.60 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $309.03 / $831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $181.97 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $616.60 / $1,412.54