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Missouri rates for HCPCS 64640

Destruction by neurolytic agent; other peripheral nerve or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.14 / $2,344.00 / $7,843.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,997.28 / $3,516.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.10 / $203.01 / $481.77
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$527.82 / $1,125.98 / $1,212.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.94 / $182.75 / $260.08
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$148.41 / $279.22 / $390.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.12 / $222.07 / $438.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.10 / $238.51 / $1,073.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.99 / $390.01 / $1,848.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.20 / $319.97 / $495.84