go back

Iowa rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.00 / $3,489.13 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.74 / $191.72 / $579.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.61 / $360.33 / $559.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.01 / $270.60 / $676.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.43 / $352.11 / $1,970.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $380.17 / $2,314.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.77 / $424.51 / $921.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.25 / $356.04 / $522.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.40 / $221.84 / $961.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.96 / $2,216.52 / $4,745.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.54 / $292.99 / $549.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.90 / $294.04 / $437.90