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West Virginia rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.75 / $1,459.35 / $6,391.06
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,590.18 / $5,590.18 / $5,590.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.33 / $190.21 / $285.32
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$377.94 / $381.27 / $386.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.65 / $152.51 / $209.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.22 / $135.56 / $135.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.89 / $203.89 / $203.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.04 / $258.93 / $441.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.36 / $3,742.10 / $4,911.30
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,372.45 / $2,428.23 / $5,068.53
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$216.26 / $216.26 / $216.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.07 / $281.42 / $403.77