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Idaho rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.94 / $722.12 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.72 / $238.51 / $606.83
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,212.03 / $1,212.03 / $1,212.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.25 / $204.25 / $204.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.31 / $211.51 / $431.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.31 / $306.58 / $637.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.20 / $397.62 / $481.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $343.59 / $432.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.57 / $2,281.73 / $2,842.02
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,368.01 / $3,422.61 / $4,306.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.68 / $279.92 / $508.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.54 / $331.35 / $472.35