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Arkansas rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $1,071.52 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $181.97 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $363.08
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $954.99 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $186.21 / $309.03