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North Dakota rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.64 / $251.09 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.27 / $193.09 / $251.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.02 / $323.12 / $618.38
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$357.03 / $506.58 / $927.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.73 / $388.34 / $796.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.64 / $251.09 / $432.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $265.92 / $1,831.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.98 / $265.92 / $541.92