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Delaware rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.81 / $170.81 / $301.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.37 / $524.37 / $524.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.22 / $168.61 / $328.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $440.00 / $440.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.15 / $211.43 / $433.42