go back

Massachusetts rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.75 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,229.59 / $1,229.59 / $1,229.59
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,647.87 / $3,641.29 / $7,836.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.52 / $213.38 / $659.99
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$762.54 / $798.45 / $3,830.56
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.26 / $1,339.09 / $3,472.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.99 / $341.89 / $1,831.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.59 / $180.66 / $358.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.82 / $257.76 / $544.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $299.43 / $607.19
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.01 / $214.32 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.08 / $351.48 / $486.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.69 / $329.61 / $733.28
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.81 / $5,421.11 / $7,891.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,899.24 / $1,899.24 / $5,926.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,600.00 / $7,161.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.14 / $465.70 / $1,831.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.43 / $407.79 / $727.14