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Tennessee rates for HCPCS 64640

Destruction by neurolytic agent; other peripheral nerve or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.07 / $2,303.00 / $6,681.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,043.80 / $3,043.80 / $3,414.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.70 / $190.21 / $347.89
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$640.58 / $854.19 / $854.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.39 / $277.39 / $277.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.00 / $1,380.00 / $2,063.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $186.29 / $393.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.25 / $210.54 / $396.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $601.59 / $601.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.00 / $1,831.00 / $2,083.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.66 / $254.43 / $501.08