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Missouri rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.91 / $3,131.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.83 / $161.58 / $324.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.80 / $183.80 / $183.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.64 / $148.00 / $225.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.35 / $211.51 / $356.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.08 / $224.87 / $1,770.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.20 / $316.45 / $2,563.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $1,770.00 / $4,712.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.59 / $257.43 / $421.70