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Indiana rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $181.97 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,466.84 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $269.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $128.82 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,818.38 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $295.12