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Minnesota rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.27 / $251.24 / $2,571.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.27 / $207.71 / $352.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.58 / $2,102.21 / $4,012.48
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,078.36 / $3,153.33 / $5,529.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.10 / $422.80 / $848.88
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$329.33 / $626.42 / $1,273.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.32 / $888.66 / $2,137.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.42 / $512.99 / $1,020.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.42 / $812.45 / $1,683.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.35 / $474.66 / $865.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.60 / $331.68 / $831.16
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$684.50 / $1,848.69 / $2,510.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.42 / $446.00 / $1,831.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.42 / $374.01 / $953.69