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Massachusetts rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.96 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.76 / $186.06 / $324.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.08 / $1,483.60 / $7,161.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.79 / $306.38 / $2,314.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $189.06 / $337.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.02 / $279.04 / $509.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.57 / $300.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.86 / $269.95 / $372.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.43 / $343.64 / $591.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.40 / $2,078.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.28 / $424.19 / $2,563.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $2,408.00 / $5,683.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.41 / $296.20 / $558.17