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Oklahoma rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.62 / $2,438.00 / $7,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,140.00 / $2,739.17 / $4,046.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.62 / $175.11 / $219.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.82 / $2,927.28 / $4,566.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.45 / $239.05 / $328.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.27 / $274.27 / $274.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.65 / $247.78 / $345.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.90 / $230.96 / $1,944.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.15 / $277.30 / $1,848.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.02 / $241.71 / $351.95