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Arizona rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Facilitymedian $2,291 · 10th–90th $275–$6,4570%5%10th90th$2,291Professionalmedian $186 · 10th–90th $117–$4900%10%10th90th$186$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,090.30 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $186.21 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,698.24 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $138.04 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $186.21 / $316.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $204.17 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $234.42 / $2,570.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,258.93 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $162.18 / $281.84