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California rates for HCPCS 64640

Destruction by neurolytic agent; other peripheral nerve or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.00 / $4,848.00 / $16,109.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,612.86 / $11,829.59 / $17,820.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.09 / $207.71 / $713.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,212.03 / $1,212.03 / $3,091.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.00 / $4,505.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.44 / $197.39 / $372.51
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$178.38 / $234.03 / $422.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $4,979.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.07 / $224.39 / $458.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.13 / $334.72 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.40 / $229.39 / $474.40
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.47 / $158.22 / $345.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.82 / $256.97 / $476.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $557.72 / $601.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.00 / $1,831.00 / $2,083.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.25 / $245.88 / $392.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.27 / $246.17 / $506.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.39 / $386.39 / $827.58
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.98 / $175.65 / $349.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.00 / $2,699.00 / $7,655.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.33 / $239.70 / $500.92