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Arizona rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.55 / $2,260.00 / $5,506.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$910.16 / $910.16 / $910.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.69 / $207.71 / $434.43
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,212.03 / $1,212.03 / $1,212.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.71 / $1,516.10 / $2,479.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $122.29 / $197.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.32 / $213.44 / $342.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.33 / $238.57 / $1,371.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.82 / $267.89 / $1,848.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $2,017.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.18 / $234.72 / $483.84