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Arizona rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.00 / $2,912.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $169.20 / $343.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.71 / $1,516.10 / $2,479.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.38 / $113.95 / $153.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.05 / $189.46 / $317.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.29 / $192.86 / $1,371.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.69 / $209.23 / $2,563.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,958.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.27 / $185.98 / $403.55